Active NPI
Shamik Navin Desai, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- New York, NY
National Provider Identifier
1114309309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22DI02521600
- Practice address
- 453 E 14TH St Apt Ma
New York, NY 10009-2823 - Phone
- (860) 490-7058
- NPI assigned
- Jun 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22DI02521600 | NJ | Primary |
Addresses
Primary practice location
453 E 14TH St Apt Ma
New York, NY 10009-2823
Mailing address
453 E 14TH St Apt Ma
New York, NY 10009-2823
Phone (860) 490-7058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02521600 | NJ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1114309309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 E 14TH ST APT MA",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100092823",
"telephone_number": "860-490-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 E 14TH ST APT MA",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100092823",
"telephone_number": "860-490-7058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "SHAMIK",
"middle_name": "NAVIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-24",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "22DI02521600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.