Spa Dental Group Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SPA DENTAL GROUP INC.

Practice address

1201 I St NW Ste 110a
Washington, DC 20005-6004

Phone

(202) 431-6957

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shebani Pahwa, D.D.SNPI 1962889618

Title

President/Owner

Phone

(301) 910-3100

Specialties & licenses 2

Addresses

Tax ID family

Spa Dental Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spa Dental Group Inc.

  • Dental Clinic/Center
  • New York, NY
  • NPI 1346886884
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shebani Pahwa

  • Dentist
  • New York, NY
  • NPI 1962889618
  NPD Authorized official

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1861938789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 5TH AVE APT 37F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222537",
            "telephone_number": "202-431-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 I ST NW STE 110A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200056004",
            "telephone_number": "202-431-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA DENTAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "PAHWA",
        "authorized_official_first_name": "SHEBANI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "301-910-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001562",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regis Soye Sarabe
• Olubode Soyinka
• Leeann Soyka
• Dallas Soyland
• Mistura Soyombo
• Spa Flow Studio
• Sophia Elena Spadaro
• Michael Spagnola, M.D.
• Laura P. Spagnoli, R.PH.
• Kyle Spagnolo, DO

• Dental Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Dental Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.