New York Dental,PC

Primary specialty

DentistTaxonomy code 122300000X

License

044431 Issued in NY

Legal business name

NEW YORK DENTAL,PC

Practice address

1436 Nepperhan Ave
Yonkers, NY 10703-1015

Phone

(914) 207-0666

Fax

(914) 207-0751

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Duraid Sahawneh, DDS

Title

President

Phone

(614) 209-0666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1548434152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 NEPPERHAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107031015",
            "telephone_number": "914-207-0666",
            "fax_number": "914-207-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 NEPPERHAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107031015",
            "telephone_number": "914-207-0666",
            "fax_number": "914-207-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK DENTAL,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "SAHAWNEH",
        "authorized_official_first_name": "DURAID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-209-0666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "044431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01464011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Yonkers, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.