Radiant Star Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RADIANT STAR DENTAL PLLC

Practice address

8820 169TH St
Jamaica, NY 11432-4431

Phone

(718) 739-6961

NPI assigned

Jun 6, 2019

Organization subpart

No

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

Authorized official

Name

Sumit Sehgal, DDSNPI 1821344532

Title

Owner

Phone

(516) 236-4415

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Sumit Sehgal, DDS

  • General Practice Dentistry
  • Waterbury, CT
  • NPI 1821344532
  NPD (past) Authorized official

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1952960742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HORSESHOE LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 169TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324431",
            "telephone_number": "718-739-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT STAR DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "SEHGAL",
        "authorized_official_first_name": "SUMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-236-4415",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04333620",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garet Rabinoff
• Alexander Cole Rabinowitz, M.S.
• Susan L Rabinowitz, PA
• Ariel Rackman, PHARM. D.
• Radiant Life Senior Social Center Inc
• Jasmine Radjpaul, LMFT
• Pooneh Radmard, MS, RD, CDN
• Farshid Radparvar, MD
• Sharmin Rafique
• Deoki Romona Ragoonanan, RPA-C

• General Practice Dentistry in Jamaica, NY
• Providers in Jamaica, 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 Jun 6, 2019; 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.