Individual provider Active NPI

Neethi Dalvi

  • Dentist
  • Bronx, NY
National Provider Identifier
1689165284
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
06089101 Issued in NY
Practice address
1775 Grand Concourse
Bronx, NY 10453-8202
Phone
(917) 703-8919
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 06089101 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1775 Grand Concourse
Bronx, NY 10453-8202

Mailing address

2 River Ter Apt 11a
New York, NY 10282-1250
Phone (917) 703-8919

Other practice location 1

21 Murray St Fl 4
New York, NY 10007-2245
Phone (212) 346-0893

Other practice location 2

455 W 37th St Apt 1028
New York, NY 10018-4786
Phone (917) 703-8919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1689165284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RIVER TER APT 11A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102821250",
            "telephone_number": "917-703-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538202",
            "telephone_number": "917-703-8919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Murray St Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100072245",
            "country_code": "US",
            "telephone_number": "212-346-0893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 W 37th St Apt 1028",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100184786",
            "country_code": "US",
            "telephone_number": "917-703-8919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALVI",
        "first_name": "NEETHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "06089101",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.