Robert Shanock, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

022511 Issued in NY

Practice address

100 Alcott PL
Bronx, NY 10475-4102

Phone

(718) 671-9329

Fax

(718) 379-4464

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1023144110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALCOTT PLACE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10475",
            "telephone_number": "718-671-9329",
            "fax_number": "718-379-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALCOTT PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754102",
            "telephone_number": "718-671-9329",
            "fax_number": "718-379-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANOCK",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "022511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00282691",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ananth Adurthy Shankar, M.D.
• Michelle Shankar
• Sneha Shankar, MS
• Vishal Shankar
• Amanda Shanner
• Shivani Shant, DPM
• Maria V Shantie, M.S., LMHC, CASAC
• Bing Lin Shao, PA-C
• Yining Shao, MD, PHARMD
• Naum Shaparin, M.D.

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.