Organization Active NPI

Gentle Family Dental of Elmhurst

  • General Practice Dentistry
  • Elmhurst, NY
National Provider Identifier
1609204460
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049494 Issued in NY
Legal business name
GENTLE FAMILY DENTAL OF ELMHURST
Practice address
9002 43Rd Ave
Dental Office
Elmhurst, NY 11373-3472
Phone
(718) 335-3368
NPI assigned
Oct 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Dr. Payam Kashani, DDSNPI 1154413177
Title
Sole Member
Phone
(718) 335-3368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 049494 NY Primary

Addresses

Primary practice location

9002 43Rd Ave
Dental Office
Elmhurst, NY 11373-3472

Mailing address

4 Franklin PL
1St Floor
Great Neck, NY 11023-1211

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.

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1609204460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FRANKLIN PL",
            "address_2": "1ST FLOOR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 43RD AVE",
            "address_2": "DENTAL OFFICE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733472",
            "telephone_number": "718-335-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FAMILY DENTAL OF ELMHURST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "KASHANI",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "718-335-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.