Organization Active NPI

Madison Happy Smiles Dental PLLC

  • Dentist
  • New York, NY
National Provider Identifier
1619811346
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MADISON HAPPY SMILES DENTAL PLLC
Practice address
20 E 35TH St
2A Dental
New York, NY 10016-3887
Phone
(917) 565-6883
Fax
(917) 565-6883
NPI assigned
Apr 15, 2026
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Robert Fatakhov, DDSNPI 1538494109
Title
Owner
Phone
(917) 565-6883

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
Dentist 122300000X Primary

Addresses

Primary practice location

20 E 35TH St
2A Dental
New York, NY 10016-3887

Mailing address

9936 62ND Dr
Rego Park, NY 11374-1938
Phone (917) 565-6883

National Provider Directory

National Provider Directory

Locations

20 E 35th St
Apt 2A
New York, NY 10016
Phone (212) 685-4217

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": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1619811346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9936 62ND DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741938",
            "telephone_number": "917-565-6883",
            "fax_number": "917-565-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 35TH ST",
            "address_2": "2A DENTAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163887",
            "telephone_number": "917-565-6883",
            "fax_number": "917-565-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON HAPPY SMILES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "FATAKHOV",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-565-6883",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.