NPIMap

Organization Active NPI

Glen F Ehrenman DDS and Mahnaz Khan DDS PC

  • Pediatric Dentistry
  • Westbury, NY
National Provider Identifier
1487871372
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
GLEN F EHRENMAN DDS AND MAHNAZ KHAN DDS PC
Practice address
959 Brush Hollow Rd
Suite 101
Westbury, NY 11590-1778
Phone
(516) 333-3033
Fax
(516) 333-3627
NPI assigned
Apr 20, 2007
Last updated
Jan 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Glen F Ehrenman, DDSNPI 1790869246
Title
Partner
Phone
(516) 333-3033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

959 Brush Hollow Rd
Suite 101
Westbury, NY 11590-1778

Mailing address

959 Brush Hollow Rd
Suite 101
Westbury, NY 11590-1778
Phone (516) 333-3033

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1487871372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 BRUSH HOLLOW RD",
            "address_2": "SUITE 101",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901778",
            "telephone_number": "516-333-3033",
            "fax_number": "516-333-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 BRUSH HOLLOW RD",
            "address_2": "SUITE 101",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901778",
            "telephone_number": "516-333-3033",
            "fax_number": "516-333-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN F EHRENMAN DDS AND MAHNAZ KHAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "EHRENMAN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-333-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.