Emanuel Shaddaie

Primary specialty

DentistTaxonomy code 122300000X

License

DN31378 Issued in FL

Practice address

2545 Military TRL
Jupiter, FL 33458-7879

Phone

(561) 786-8413

NPI assigned

Jan 27, 2025

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104639970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 DESIGN CENTER DR APT 454",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104366",
            "telephone_number": "516-974-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 MILITARY TRL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587879",
            "telephone_number": "561-786-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADDAIE",
        "first_name": "EMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-27",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN31378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guerline Seraphin-Ray, LMHC
• Valerie Allison Seraphin, M.S., BCBA
• Franchesca Serdyuk
• Serenity House Detox Palm Beach, LLC
• Elea Sevrain, RN
• Kathryn C. Shafer, PH.D.
• Tapan Shah, PHARM. D.
• Henry J Shapiro, MD
• Jennifer Shapiro, APRN
• Vijay M Sharma, MD

• Dentist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.