Organization Active NPI

Westchester Square Family Dental LLC

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1740493543
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WESTCHESTER SQUARE FAMILY DENTAL LLC
Practice address
47 Westchester SQ
Bronx, NY 10461-3526
Phone
(718) 239-4300
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Foujan Nouri, DMD
Title
Owner-Member
Phone
(201) 921-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

47 Westchester SQ
Bronx, NY 10461-3526

Mailing address

PO Box 528
Edgewater, NJ 07020-0528
Phone (201) 921-3033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740493543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070200528",
            "telephone_number": "201-921-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WESTCHESTER SQ",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613526",
            "telephone_number": "718-239-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER SQUARE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOURI",
        "authorized_official_first_name": "FOUJAN",
        "authorized_official_title_or_position": "OWNER-MEMBER",
        "authorized_official_telephone_number": "201-921-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 22, 2020; 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.