NPIMap

Organization Active NPI

Nyc Smiling Dentist, PLLC

  • General Practice Dentistry
  • Long Island City, NY
National Provider Identifier
1831703115
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NYC SMILING DENTIST, PLLC
Practice address
4104 27TH St Lowr Level
Long Island City, NY 11101-4949
Phone
(718) 937-2773
NPI assigned
Sep 3, 2020
Organization subpart
Yes
Parent organization
NYC SMILING DENTIST, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Dr. Shawn Salehezadeh, DDSNPI 1710079694
Title
Doctor/Owner
Phone
(718) 937-2773

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4104 27TH St Lowr Level
Long Island City, NY 11101-4949

Mailing address

4104 27TH St Lowr Level
Long Island City, NY 11101-4949
Phone (718) 937-2773

Other names 2

  • Shawn Salehezadeh, D.D.S. Doing business as
  • The QPD Doing business as

National Provider Directory

National Provider Directory
Part of
Nyc Smiling Dentist PLLC

Practitioners & affiliated clinicians

Practitioners 1

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": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1831703115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 27TH ST LOWR LEVEL",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014949",
            "telephone_number": "718-937-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 27TH ST LOWR LEVEL",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014949",
            "telephone_number": "718-937-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC SMILING DENTIST, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NYC SMILING DENTIST, PLLC",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "SALEHEZADEH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "718-937-2773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shawn Salehezadeh, D.D.S.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The QPD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.