21St Century Family Dental P.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

21ST CENTURY FAMILY DENTAL P.C

Practice address

738 Broadway
Brooklyn, NY 11206-4403

Phone

(718) 384-2662

Fax

(718) 384-6408

NPI assigned

Aug 12, 2013

Last updated

Aug 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahryar Sedgh, DDSNPI 1851506596

Title

Persident

Phone

(718) 384-2662

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Shahryar Sedgh, D.D.S

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1851506596
  Authorized official Same address or phone

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1871926048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064403",
            "telephone_number": "718-384-2662",
            "fax_number": "718-384-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064403",
            "telephone_number": "718-384-2662",
            "fax_number": "718-384-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY FAMILY DENTAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "SEDGH",
        "authorized_official_first_name": "SHAHRYAR",
        "authorized_official_title_or_position": "PERSIDENT",
        "authorized_official_telephone_number": "718-384-2662",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01768034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 2116 Kings Highway Gi PLLC
• 2196 Flatbush Pharmacy Inc.
• 21St Avenue Medical Plaza PC
• 21St Century Dental of Canarsie
• 21St Century Dentalof Flatbush
• 21St Century Medical PC
• 21St Century Medical PC
• 21St Century Radiology and Imaging, PC
• 21St Centurydental Cosmetic Health P.C
• 2205 Health Inc (Medland Pharmacy)

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.