Organization Active NPI

Maha Aldoori Dentistry, P.C.

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1669609376
Registry record updated Jun 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050761 Issued in NY
Legal business name
MAHA ALDOORI DENTISTRY, P.C.
Practice address
670 92ND St
Brooklyn, NY 11228-3632
Phone
(718) 833-7466
Fax
(718) 745-7442
NPI assigned
Jun 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2009

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

Authorized official

Name
Dr. Maha Y Aldoori, D.M.D
Title
Dentist
Phone
(718) 833-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 050761 NY Primary

Addresses

Primary practice location

670 92ND St
Brooklyn, NY 11228-3632

Mailing address

670 92ND St
Brooklyn, NY 11228-3632
Phone (718) 833-7466

Other identifiers 1

IdentifierTypeStateIssuer
02490908MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245456000000",
    "number": "1669609376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 92ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283632",
            "telephone_number": "718-833-7466",
            "fax_number": "718-745-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 92ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283632",
            "telephone_number": "718-833-7466",
            "fax_number": "718-745-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHA ALDOORI DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-20",
        "last_updated": "2009-06-20",
        "status": "A",
        "authorized_official_last_name": "ALDOORI",
        "authorized_official_first_name": "MAHA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-833-7466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "050761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02490908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2009; 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.