NPIMap

Organization Active NPI

Simple Dental, PLLC

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1710583158
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SIMPLE DENTAL, PLLC
Practice address
26 Broad St
New York, NY 10005-1904
Phone
(646) 969-5632
NPI assigned
Dec 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Dr. Waleed Ben Elchami, DMD
Title
Dentist
Phone
(201) 803-7591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

26 Broad St
New York, NY 10005-1904

Mailing address

60 W 23Rd St Apt 919
New York, NY 10010-5296
Phone (201) 803-7591

Other names 1

  • dntl bar FIDI Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DNT Bar Uws5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

26 Broad St
New York, NY 10005
Phone (646) 512-8215

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1710583158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W 23RD ST APT 919",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105296",
            "telephone_number": "201-803-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BROAD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100051904",
            "telephone_number": "646-969-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "ELCHAMI",
        "authorized_official_first_name": "WALEED",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-803-7591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dntl bar FIDI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.