NPIMap

Organization Active NPI

Exceldent Dental of Commack

  • General Practice Dentistry
  • Commack, NY
National Provider Identifier
1629159116
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EXCELDENT DENTAL OF COMMACK
Practice address
77 Vets Mem Hwy
Ste 2
Commack, NY 11725
Phone
(631) 499-5663
Fax
(631) 368-4325
NPI assigned
Oct 18, 2006
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Hadi Ziaei, DDSNPI 1558446450
Title
Owner
Phone
(631) 499-5663

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X

Addresses

Primary practice location

77 Vets Mem Hwy
Ste 2
Commack, NY 11725

Mailing address

77 Vets Mem Hwy
Ste 2
Commack, NY 11725
Phone (631) 499-5663

National Provider Directory

National Provider Directory

Locations

77 Vets Hwy
Ste 2
Commack, NY 11725
Phone (631) 292-0421

Practitioners & affiliated clinicians

Practitioners 3

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1629159116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VETS MEM HWY",
            "address_2": "STE 2",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-499-5663",
            "fax_number": "631-368-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VETS MEM HWY",
            "address_2": "STE 2",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-499-5663",
            "fax_number": "631-368-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELDENT DENTAL OF COMMACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "ZIAEI",
        "authorized_official_first_name": "HADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-499-5663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.