Eduart Shkurti, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053663 Issued in NY

Practice address

3400 Fort Independence St Apt DF
Bronx, NY 10463-4549

Phone

(213) 210-4543

NPI assigned

Sep 14, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1063608826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 FORT INDEPENDENCE ST APT DF",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634549",
            "telephone_number": "213-210-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 FORT INDEPENDENCE ST APT DF",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634549",
            "telephone_number": "213-210-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHKURTI",
        "first_name": "EDUART",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009787",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakisha M Shivers, NP
• Shivhanuman Medical PC
• Maria M Shivprashad
• Shivshakti RX LLC.
• Saher Taj Shiza
• Artur Shlifer
• Sara Shllaku
• Shloime Rubin (New Fordham Arms home for adults)
• Mark Shlomovich, M.D.
• Anna Shmayenik, PHARM 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 Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.