Individual provider Active NPI

Shahla Asadi

  • Dentist
  • Hartsdale, NY
National Provider Identifier
1982984746
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
056892 Issued in NY
Practice address
99 Fieldstone Dr
Hartsdale, NY 10530-1564
Phone
(914) 761-1500
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 056892 NY Primary

Addresses

Primary practice location

99 Fieldstone Dr
Hartsdale, NY 10530-1564

Mailing address

99 Fieldstone Dr
Hartsdale, NY 10530-1564
Phone (914) 761-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
056892NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1982984746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 FIELDSTONE DR",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301564",
            "telephone_number": "914-761-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 FIELDSTONE DR",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301564",
            "telephone_number": "914-761-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASADI",
        "first_name": "SHAHLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.