Organization Active NPI

Soheila Elaahi, D.D.S., P.C.

  • General Practice Dentistry
  • Suffern, NY
National Provider Identifier
1760786453
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043052-1 Issued in NY
Legal business name
SOHEILA ELAAHI, D.D.S., P.C.
Practice address
11 North Airmont Road
Suite 9
Suffern, NY 10901
Phone
(845) 357-0777
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Dr. Soheila Elaahi, D.D.S.
Title
Dentist
Phone
(845) 357-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 043052-1 NY Primary

Addresses

Primary practice location

11 North Airmont Road
Suite 9
Suffern, NY 10901

Mailing address

26 South LN
New City, NY 10956-4716
Phone (845) 634-3847

National Provider Directory

National Provider Directory

Locations

11 N Airmont Rd
Ste 9
Suffern, NY 10901
Phone (845) 357-0777

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1760786453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SOUTH LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564716",
            "telephone_number": "845-634-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NORTH AIRMONT ROAD",
            "address_2": "SUITE 9",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-357-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHEILA ELAAHI, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "ELAAHI",
        "authorized_official_first_name": "SOHEILA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "845-357-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043052-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.