Organization Active NPI

Maryam Hariri

  • Dental Clinic/Center
  • Saratoga Springs, NY
National Provider Identifier
1902499551
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARYAM HARIRI
Practice address
368 Broadway Ste 18
Saratoga Springs, NY 12866-3117
Phone
(518) 450-7111
NPI assigned
Feb 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Dr. Maryam Hariri, DDSNPI 1851627376
Title
President
Phone
(518) 450-7111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

368 Broadway Ste 18
Saratoga Springs, NY 12866-3117

Mailing address

368 Broadway Ste 18
Saratoga Springs, NY 12866-3117

National Provider Directory

National Provider Directory

Locations

368 Broadway
Ste 18
Saratoga Springs, NY 12866
Phone (518) 450-7111

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1902499551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 BROADWAY STE 18",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 BROADWAY STE 18",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663117",
            "telephone_number": "518-450-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM HARIRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "HARIRI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-450-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.