NPIMap

Organization Active NPI

Ardeshir Taheri-Tafreshi DMD, Inc.

  • Dental Clinic/Center
  • Staten Island, NY
National Provider Identifier
1790090272
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
054824 Issued in NY
Legal business name
ARDESHIR TAHERI-TAFRESHI DMD, INC.
Practice address
3200 Victory Blvd
Staten Island, NY 10314-6723
Phone
(718) 761-3200
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Dr. Ardeshir Taheri-Tafreshi, DMDNPI 1962695783
Title
President
Phone
(718) 761-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 054824 NY Primary

Addresses

Primary practice location

3200 Victory Blvd
Staten Island, NY 10314-6723

Mailing address

3200 Victory Blvd
Staten Island, NY 10314-6723
Phone (718) 761-3200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1790090272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146723",
            "telephone_number": "718-761-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146723",
            "telephone_number": "718-761-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDESHIR TAHERI-TAFRESHI DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "TAHERI-TAFRESHI",
        "authorized_official_first_name": "ARDESHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-761-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "054824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.