DR. MOHAMMAD KAZEM SADEGHI (NPI# 1568517431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568517431 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMAD KAZEM SADEGHI |
| Credential | D.D.S. |
| Practice Address |
3370 Baychester Ave Bronx NY 10475-1565 |
| Practice Telephone | 7186712823 |
| Practice Fax Number | 7186712824 |
| Mailing Telephone | 7186712823 |
| Mailing Fax Number | 7186712824 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
045325-1 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02071396 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841431566 | Mohammad Hassan Sadeghi | Dentist | 43 Pebble Beach Dr, Aptos, CA 95003-5725 | 2009-03-09 |
| Street Address |
3370 BAYCHESTER AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10475-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730440587 | Optimum Dental Care, LLC | Clinic/Center | 3370 Baychester Ave, Bronx, NY 10475-1565 | 2012-06-07 |
| 1538420385 | Premier Oral Surgery, Pllc | Clinic/Center | 3370 Baychester Ave, Bronx, NY 10475-1565 | 2012-06-07 |
| 1770710147 | Krista Justine Mckenzie | Dentist | 3370 Baychester Ave, Bronx, NY 10475-1565 | 2009-06-12 |
| 1245444637 | Craig Smith | Dentist | 3370 Baychester Ave, Bronx, NY 10475-1565 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973048 | Sharon Antoinette Hall | Registered Nurse | 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 | 2019-07-11 |
| 1265912042 | Bartow Pharmacy Inc. | Pharmacy | 500-5 Baychester Ave. Store #5, Bronx, NY 10475 | 2018-08-21 |
| 1518465996 | Jacqueline Caraballo | Nurse Practitioner | 100 De Kruif Place Apt 27h, Bronx, NY 10475 | 2018-01-31 |
| 1093227142 | Rachel Obeng Mireku | Licensed Practical Nurse | 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 | 2017-10-30 |
| 1023534518 | Nelson Merritt Hall | Chiropractor | 2100 Bartow Ave, Ste #227, Bronx, NY 10475 | 2017-08-17 |
| 1245769363 | Sharon Holland Johnson | Licensed Practical Nurse | 140 Dekruif Pl, Bronx, NY 10475 | 2017-06-12 |
| 1740719152 | Nadia S Etienne | Licensed Practical Nurse | 120 De Kruif Place, Apt 18h, Bronx, NY 10475 | 2017-06-08 |
| 1407385891 | Ashley N Freeze | Case Manager/Care Coordinator | 140 Darrow Place Suite 24e, Bronx, NY 10475 | 2017-06-08 |
| 1912454091 | Usth.inc | Early Intervention Provider Agency | 120 Coop City Blvd, 21-f, Bronx, NY 10475 | 2016-09-06 |
| 1447626130 | Zelda Boomer | Registered Nurse | 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 | 2015-08-17 |
| Find all providers in zip 10475 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538551296 | Bronx Oral Surgery, PC | Dentist | 355 E 149th St Rm 206, Bronx, NY 10455-3909 | 2015-03-04 |
| 1598192569 | Hanuman Oral Surgery Pllc | Dentist | 2070 Grand Concourse, Bronx, NY 10457-2837 | 2013-10-04 |
| 1689804569 | Katherine Kyoung-jin Lee | Dentist | 1210 Lakewood Pl, Bronx, NY 10461-1816 | 2009-07-25 |
| 1528201613 | Manhattan Oral Facial Surgery LLC | Dentist | 6118 Riverdale Ave, Bronx, NY 10471-1009 | 2009-04-20 |
| 1184781791 | Riverdale Oral & Maxillofacial Surgery PC | Dentist | 3333 Henry Hudson Pky, Suite 9, Bronx, NY 10463-3236 | 2007-01-02 |
| 1043396930 | Lawrence Steven Holtzman | Dentist | 1250 Waters Pl Ste 503, Bronx, NY 10461-2732 | 2006-10-31 |
| 1780684373 | Bartley R. Labiner | Dentist | 1940 Grand Concourse, Bronx, NY 10457-5221 | 2005-07-26 |
| 1033115506 | Paul Gates | Dentist | 1770 Grand Concourse, Bronx, NY 10457-5524 | 2005-06-21 |
| 1760485247 | Mauricio Wiltz | Dentist | 3332 Rochambeau Avenue, Department of Dentistry, 2nd Floor, Bronx, NY 10467-2836 | 2005-05-27 |
| 1538534854 | Oral Surgery of Riverdale, P.C. | Dentist | 3333 Henry Hudson Pkwy, Suite 9, Bronx, NY 10463-3224 | 2015-12-11 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.