Bahram Elaahi, D.D.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

056515 Issued in NY

Practice address

Stony Brook University Hospital
Medical Staff Office T14
Stony Brook, NY 11794-7148

Phone

(631) 444-2754

Fax

(631) 444-6031

NPI assigned

Apr 24, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1992949606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "MEDICAL STAFF OFFICE T14",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117947148",
            "telephone_number": "631-444-2754",
            "fax_number": "631-444-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "MEDICAL STAFF OFFICE T14",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117947148",
            "telephone_number": "631-444-2754",
            "fax_number": "631-444-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAAHI",
        "first_name": "BAHRAM",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "056515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nausheen Ekram, D.D.S.
• Polikseni Eksarko, M.D.
• Salma Saad El Gendi, MD
• Tarek El-Ghazaly
• Victoria El-Hayek, MD
• Saarah Elberhoumi
• Elite DME, Inc.
• Doreen Massey Elitharp, NP
• Kaely Elizabeth Elkins, DO
• Mitchell Scott Elsky, PA

• Orthodontics and Dentofacial Orthopedics Dentistry in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.