Active NPI
Iman Sadri, DDS
- Dentist
- Ny, NY
National Provider Identifier
1538308473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- P65030
- Practice address
- 1 Gustave Levy PL
Mt Sinai Hospital
Ny, NY 10029 - Phone
- (212) 241-6728
- NPI assigned
- Feb 17, 2009
- Last updated
- Nov 19, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | P65030 | NY | Primary |
Addresses
Primary practice location
1 Gustave Levy PL
Mt Sinai Hospital
Ny, NY 10029
Mailing address
160 E 26TH St Apt 2B
New York, NY 10010-1831
Phone (916) 501-0003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P65030 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1538308473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E 26TH ST APT 2B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101831",
"telephone_number": "916-501-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE LEVY PL",
"address_2": "MT SINAI HOSPITAL",
"city": "NY",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-241-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADRI",
"first_name": "IMAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-17",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "P65030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.