Active NPI
Rashmikant N Mehta, D.D.S.
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1811042765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 037154
- Practice address
- 555 Wilson Ave
Brooklyn, NY 11207-1269 - Phone
- (718) 453-2100
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 037154 | NY | Primary |
Addresses
Primary practice location
555 Wilson Ave
Brooklyn, NY 11207-1269
Mailing address
10858 64TH Ave
Forest Hills, NY 11375-1434
Phone (718) 896-3210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00757162 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037154 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811042765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10858 64TH AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751434",
"telephone_number": "718-896-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 WILSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112071269",
"telephone_number": "718-453-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "RASHMIKANT",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "037154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00757162",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.