Organization Active NPI

Da & JP Dental PLLC

Doing business as Iconic Smiles

  • Dentist
  • Bellerose, NY
National Provider Identifier
1790498608
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Jacob Pleshty, DDSNPI 1144865189
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.