Gaurav Mahindra, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

055737 Issued in NY

Practice address

630 9TH Ave
New York, NY 10036-3708

Phone

(212) 265-6419

NPI assigned

Jun 9, 2011

Last updated

Aug 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile Smile Dental, P.C.

  • General Practice Dentistry
  • New York, NY
  • NPI 1598047433
  NPD (past) Authorized official

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313280000000",
    "number": "1891089603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 W 44TH ST",
            "address_2": "APT. 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364460",
            "telephone_number": "516-343-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363708",
            "telephone_number": "212-265-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHINDRA",
        "first_name": "GAURAV",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055737",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Mahfouz, RPH
• Rodwan Mahfouz, M.D.
• Debora Mahgerefteh, M.A., CCC-SLP, TSSLD
• Joseph Mahgerefteh, M.D.
• Nahla Abdelaziz Mahgoub, M.D
• Rainu Mahindra, B PHARM
• Umesh Kumar Mahindra, DDS
• Fahima Mahir, M.D.
• Somaia Mahjabin, OTR/L
• Ali Mahjoorighasrodashti

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2011; 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.