Organization Active NPI

Taj Dental LLC

Doing business as Pasha Dental

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1942582432
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
053966 Issued in NY
Legal business name
TAJ DENTAL LLC
Doing business as
Pasha Dental
Practice address
633 5TH Ave
Brooklyn, NY 11215-5434
Phone
(718) 499-6761
Fax
(718) 499-6762
NPI assigned
Sep 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Dr. Pasha Javaheri Saatchi, DMDNPI 1558517599
Title
Owner and President
Phone
(718) 499-6761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 053966 NY Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 055710 NY

Addresses

Primary practice location

633 5TH Ave
Brooklyn, NY 11215-5434

Mailing address

633 5TH Ave
Brooklyn, NY 11215-5434
Phone (718) 499-6761

Other names 1

  • Pasha Dental Doing business as

National Provider Directory

National Provider Directory

Locations

633 5th Ave
Brooklyn, NY 11215
Phone (347) 725-4999

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1942582432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155434",
            "telephone_number": "718-499-6761",
            "fax_number": "718-499-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155434",
            "telephone_number": "718-499-6761",
            "fax_number": "718-499-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAJ DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "JAVAHERI SAATCHI",
        "authorized_official_first_name": "PASHA",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "718-499-6761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "053966",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "055710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasha Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

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