NPIMap

Organization Active NPI

Tribeca Dental Associate, PC

  • Periodontics
  • New York, NY
National Provider Identifier
1962513986
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0472584 Issued in NY
Legal business name
TRIBECA DENTAL ASSOCIATE, PC
Practice address
21 Murray St
Floor 4
New York, NY 10007-2239
Phone
(212) 346-0893
Fax
(212) 346-0894
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Bahram Hamidi, DDSNPI 1538140132
Title
President
Phone
(212) 346-0893

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 048739 NY
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 047254 NY
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 0472584 NY Primary

Addresses

Primary practice location

21 Murray St
Floor 4
New York, NY 10007-2239

Mailing address

21 Murray Street
Floor 4
New York, NY 10007
Phone (212) 346-0893

National Provider Directory

National Provider Directory

Locations

21 Murray St
Fl 4
New York, NY 10007
Phone (212) 346-0893

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1962513986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MURRAY STREET",
            "address_2": "FLOOR 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "212-346-0893",
            "fax_number": "212-346-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MURRAY ST",
            "address_2": "FLOOR 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072239",
            "telephone_number": "212-346-0893",
            "fax_number": "212-346-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBECA DENTAL ASSOCIATE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "HAMIDI",
        "authorized_official_first_name": "BAHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-346-0893",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048739",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "047254",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "0472584",
            "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 Nov 4, 2015; 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.