NPIMap

Organization Active NPI

Shine Dental Associates of the North Shore

  • Dentist
  • Syosset, NY
National Provider Identifier
1043509409
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043935 Issued in NY
Legal business name
SHINE DENTAL ASSOCIATES OF THE NORTH SHORE
Practice address
400 Jericho Tpke
Syosset, NY 11791-4509
Phone
(516) 348-8500
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. Eric Weinstein
Title
Partner
Phone
(516) 348-8500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 043935 NY Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X

Addresses

Primary practice location

400 Jericho Tpke
Syosset, NY 11791-4509

Mailing address

400 Jericho Tpke
Syosset, NY 11791-4509
Phone (516) 348-8500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1043509409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914509",
            "telephone_number": "516-348-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914509",
            "telephone_number": "516-348-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE DENTAL ASSOCIATES OF THE NORTH SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-348-8500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "043935",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.