Pera Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049234 Issued in NY

Legal business name

PERA DENTAL CARE

Practice address

590 W 172ND St Apt 1F
New York, NY 10032-2031

Phone

(212) 928-9999

NPI assigned

Apr 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Vezire Sarak

Title

DDS

Phone

(212) 928-9999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1669797676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 WEST 172ND ST",
            "address_2": "APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322031",
            "telephone_number": "212-928-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W 172ND ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322031",
            "telephone_number": "212-928-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "SARAK",
        "authorized_official_first_name": "VEZIRE",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "212-928-9999",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.