Mike Mohammadreza Zarrinnegar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050350 Issued in NY

Practice address

1231 Webster Ave
Bronx
Bronx, NY 10456-3373

Phone

(646) 402-8989

Fax

(646) 402-8988

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Mohammadreza Zarrinnegar Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1710064951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 WEBSTER AVE",
            "address_2": "BRONX",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563373",
            "telephone_number": "646-402-8989",
            "fax_number": "646-402-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 WEBSTER AVE",
            "address_2": "BRONX",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563373",
            "telephone_number": "646-402-8989",
            "fax_number": "646-402-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARRINNEGAR",
        "first_name": "MIKE",
        "middle_name": "MOHAMMADREZA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050350",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02413550",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMADREZA",
            "last_name": "ZARRINNEGAR",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosa Zaragoza, SCHOOL PSYCHOLOGIST
• Sally Sarah Zarbailov, M.S, CCC-SLP, TSSLD
• Talia Hannah Zarbiv, PSY.D.
• Jonah Zaretsky
• Matthew Alex Zaretsky
• Galyna Zaslav
• Tatiana Zaslavsky, DO
• Almutazbillah Zater
• Laura Anne Zaug, LMSW
• Henna Zaver

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, 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 Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.