Organization Active NPI

Hillcrest Dental Care PC

  • Dental Clinic/Center
  • Spring Valley, NY
National Provider Identifier
1740559467
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
043154 Issued in NY
Legal business name
HILLCREST DENTAL CARE PC
Practice address
1 Hillcrest Center Drive
Suite 107
Spring Valley, NY 10977
Phone
(845) 262-1062
Fax
(845) 262-1065
NPI assigned
Dec 27, 2011
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Shameem Wahab
Title
DDS
Phone
(845) 262-1062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 043154 NY Primary

Addresses

Primary practice location

1 Hillcrest Center Drive
Suite 107
Spring Valley, NY 10977

Mailing address

1 Hillcrest Center Drive
Suite 107
Spring Valley, NY 10977

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1740559467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HILLCREST CENTER DRIVE",
            "address_2": "SUITE 107",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "10977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HILLCREST CENTER DRIVE",
            "address_2": "SUITE 107",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "10977",
            "telephone_number": "845-262-1062",
            "fax_number": "845-262-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "WAHAB",
        "authorized_official_first_name": "SHAMEEM",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "845-262-1062"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "043154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.