Individual provider Active NPI

Mariya Shnaydman, D.M.D

  • General Practice Dentistry
  • New Bedford, MA
National Provider Identifier
1003031766
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20512 Issued in MA
Practice address
1249 Ashley Blvd
Suite #1
New Bedford, MA 02745-1536
Phone
(508) 998-1178
Fax
(508) 995-1775
NPI assigned
Apr 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20512 MA Primary

Addresses

Primary practice location

1249 Ashley Blvd
Suite #1
New Bedford, MA 02745-1536

Mailing address

7 Hunnewell Ter
Needham, MA 02494-1444
Phone (617) 721-8917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229002355 MA Order and Referring Only - DentistPractitioner - Dentist 5597060541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20512MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Blackstone Endodontics, LLC Current Accepting new patients
In Style Smile Dental, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003031766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HUNNEWELL TER",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941444",
            "telephone_number": "617-721-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 ASHLEY BLVD",
            "address_2": "SUITE #1",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027451536",
            "telephone_number": "508-998-1178",
            "fax_number": "508-995-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHNAYDMAN",
        "first_name": "MARIYA",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.