Israel Shimunov, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

06136301 Issued in NY

Practice address

9815 65TH Rd Apt 1B
Rego Park, NY 11374-3505

Phone

(347) 247-6810

NPI assigned

Mar 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1003375759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6259 108TH ST APT 5H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751314",
            "telephone_number": "347-247-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 65TH RD APT 1B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743505",
            "telephone_number": "347-247-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMUNOV",
        "first_name": "ISRAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "06136301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Shimanova
• Toru Shimoji
• Esther Shimonov, PHARM.D RPH
• Yuri Mikhail Shimonov, NP
• Olga Shimonova
• Julie A Shimunov
• Liana Shimunova
• Sung Jae Shin, LCSW
• Alla Shnaider, MA, CCC-SLP, TSSLD
• Marina Shvets, DPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.