Greene Ave Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GREENE AVE DENTAL PLLC

Doing business as

TriBeCa Dental Associate on Greene

Practice address

21 Murray St FL 5
New York, NY 10007-2244

Phone

(212) 346-0893

NPI assigned

Dec 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Sara Shahi, DDSNPI 1902153703

Title

Sole Member

Phone

(917) 282-9118

Specialties & licenses 1

Addresses

Other names 1

• TriBeCa Dental Associate on Greene Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Shahi, DDS

  • Pediatric Dentistry
  • New York, NY
  • NPI 1902153703
  NPD Authorized official

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1558909465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 GREENE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-623-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MURRAY ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072244",
            "telephone_number": "212-346-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE AVE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2024-04-30",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "SHAHI",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "917-282-9118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TriBeCa Dental Associate on Greene",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TriBeCa Dental Associate on Greene",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Mark Greenblatt, P.T.
• Kimberly Pam Greenburg, MS, RD, CDN
• Danielle Magen Greendyk, LCSW
• Richard Adrian Greendyk
• William Garrett Greendyke, MD
• Adele Greene
• Andrea F Greene, LMSW
• Brooke Greene, PHD
• Caroline Ann Greene, NP
• Conor John Greene, PA-C

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.