Active NPI
Da & JP Dental PLLC
Doing business as Iconic Smiles
- Dentist
- Bellerose, NY
National Provider Identifier
1790498608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DA & JP DENTAL PLLC
- Doing business as
- Iconic Smiles
- Practice address
- 25104 80TH Ave
Bellerose, NY 11426-2628 - Phone
- (718) 347-1348
- NPI assigned
- Jan 5, 2023
- Last updated
- Jan 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Pleshty, DDS
- Title
- Co- Owner
- Phone
- (646) 875-0223
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
25104 80TH Ave
Bellerose, NY 11426-2628
Mailing address
25104 80TH Ave
Bellerose, NY 11426-2628
Other names 1
- Iconic Smiles
National Provider Directory
National Provider DirectoryLocations
25104 80th Ave
Bellerose, NY 11426
Phone (718) 347-1348
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Hempstead, NY
- NPI 1144865189
-
- General Practice Dentistry
- Bellerose, NY
- NPI 1699823286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1790498608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25104 80TH AVE",
"city": "BELLEROSE",
"state": "NY",
"postal_code": "114262628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25104 80TH AVE",
"city": "BELLEROSE",
"state": "NY",
"postal_code": "114262628",
"telephone_number": "718-347-1348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DA & JP DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-05",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "PLESHTY",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CO- OWNER",
"authorized_official_telephone_number": "646-875-0223",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Iconic Smiles",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellerose, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.