Mehrshid Sedaghatpour, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

049535 Issued in NY

Practice address

17 Maple Dr
Great Neck, NY 11021-2000

Phone

(516) 487-8747

NPI assigned

May 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841293594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DEVON RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232322",
            "telephone_number": "917-833-8446",
            "fax_number": "516-487-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAPLE DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212000",
            "telephone_number": "516-487-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAGHATPOUR",
        "first_name": "MEHRSHID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "049535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SDK Medical LLP
• Jillian Rae Sears, LMSW
• Destiny Seay
• Gisselle Marie Seda-Ramsingh, M.A
• Talia Tannaz Sedaghat-Darvish, DMD
• Alvina Sedgh
• Lisa Paige Seide, PT
• Bruce A Seideman, MD
• Elizabeth W Seidman
• Shari Diana Seinuk-Ross, MD

• Periodontics in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.