Individual provider Active NPI

Arian Sadeghi, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Jackson Heights, NY
National Provider Identifier
1720314446
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
051861 Issued in NY
Practice address
8201 Roosevelt Ave
Jackson Heights, NY 11372-7034
Phone
(347) 579-5159
Fax
(347) 436-9569
NPI assigned
Oct 30, 2009
Last updated
May 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 051861 NY Primary

Addresses

Primary practice location

8201 Roosevelt Ave
Jackson Heights, NY 11372-7034

Mailing address

8201 Roosevelt Ave
Jackson Heights, NY 11372-7034
Phone (347) 579-5159

Other practice location 1

10308 Roosevelt Ave
Corona, NY 11368-2330
Phone (718) 397-9000

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

State licenses

LicenseStateTypeSpecialty
051861NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Family Dental P.C. Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1720314446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727034",
            "telephone_number": "347-579-5159",
            "fax_number": "347-436-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727034",
            "telephone_number": "347-579-5159",
            "fax_number": "347-436-9569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10308 ROOSEVELT AVE",
            "address_purpose": "LOCATION",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682330",
            "country_code": "US",
            "telephone_number": "718-397-9000",
            "fax_number": "347-436-9569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADEGHI",
        "first_name": "ARIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-30",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "051861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.