Active NPI
Nina Kiani
- Dentist
- New York, NY
National Provider Identifier
1881012979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 043975
- Practice address
- 14 Penn PLZ Ste 1314
New York, NY 10122-1314 - Phone
- (212) 279-8770
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 043975 | NY | Primary |
Addresses
Primary practice location
14 Penn PLZ Ste 1314
New York, NY 10122-1314
Mailing address
14 Penn PLZ Ste 1314
New York, NY 10122-1314
Phone (212) 279-8770
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150619001095 | NY | Order and Referring Only - Dentist | 4789995549 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043975 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1881012979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PENN PLZ STE 1314",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101221314",
"telephone_number": "212-279-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 PENN PLZ STE 1314",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101221314",
"telephone_number": "212-279-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIANI",
"first_name": "NINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-04",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "043975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.