Ishwinder Saran, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855835 Issued in MA

Practice address

5002 5TH St
Suite B
Long Island City, NY 11101-5706

Phone

(718) 530-6539

NPI assigned

Aug 5, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Queenboro and Court Square Dental Associate, LLC

  • General Practice Dentistry
  • Long Island City, NY
  • NPI 1871232249
  NPD Authorized official

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440892800000",
    "number": "1639458896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 5TH ST",
            "address_2": "SUITE B",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015706",
            "telephone_number": "718-530-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 5TH ST",
            "address_2": "SUITE B",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015706",
            "telephone_number": "718-530-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAN",
        "first_name": "ISHWINDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2015-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855835",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50 057422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Santana, OTR
• Melanie Santiago, LMSW
• Mia Estela Santiago, LCSW
• John Pol Aler Santualla, RN
• Alexis Saratan Sarabia, PT, DPT
• Lawrencia Akua Sarpong
• Mohan Lal Sarwal, MD
• Sarwar Zahid MD PLLC
• Judith Sasso, MS
• Marcelle Sasson

• General Practice Dentistry in Long Island City, NY
• Providers in Long Island City, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2015; 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.