Shawn Sadri, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

053882 Issued in NY

Practice address

515 Madison Ave RM 1710
New York, NY 10022-5442

Phone

(212) 256-0687

NPI assigned

Jan 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1003093352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE RM 1710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225442",
            "telephone_number": "212-256-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE RM 1710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225442",
            "telephone_number": "212-256-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADRI",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "05-053882",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59115",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "endpointDescription": "na",
            "address_1": "515 Madison Ave Rm 1710",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100225442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carly Sadowsky, PT, DPT
• Heidi Sadowsky, RN
• Robert H. Sadowsky, D.M.D.
• Aylar Sadrebazzaz
• Kass Sadri, MD
• Fiza Salman Sadruddin
• Sharel Nadine Sadud-Armaza, MD
• Firrah Saeed, MD
• Hafiz Fahad Ullah Saeed, MBBS, MD
• Maheen Saeed, M.D.

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.