S R Broadway Dental P C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043271 Issued in NY

Legal business name

S R BROADWAY DENTAL P C

Practice address

345 Broadway
Brooklyn, NY 11211-9404

Phone

(718) 384-1671

Fax

(718) 486-7403

NPI assigned

Mar 15, 2011

Last updated

Mar 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Siddiqur Rahman, D.D.SNPI 1033251699

Title

Dentist

Phone

(718) 384-1671

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Siddiqur Rahman, DDS

  • Dentist
  • Brooklyn, NY
  • NPI 1033251699
  NPD (past) Authorized official

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1770881807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112119404",
            "telephone_number": "718-384-1671",
            "fax_number": "718-486-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112119404",
            "telephone_number": "718-384-1671",
            "fax_number": "718-486-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S R BROADWAY DENTAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "SIDDIQUR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-384-1671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S and Z Pharmacy Corp (Ocean Pharmacy)
• S and Z Pharmacy Corp
• S Bros Inc (S Bros Pharmacy)
• S Group Express Inc
• S J Contristano MD PC
• S Salama Physicians PC
• S V Raj Pharmacy Inc
• S. Art Services, Corp.
• S. Hasan Physician PC
• S. Pollak Audiological, P.C.

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.