Yeranen Shabtai, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43100 Issued in NY

Practice address

70 Middle Neck Road
Suite 4
Great Neck, NY 11021

Phone

(516) 829-8900

NPI assigned

Sep 21, 2006

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

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1144328154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MIDDLE NECK ROAD",
            "address_2": "SUITE 4",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-829-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MIDDLE NECK ROAD",
            "address_2": "SUITE 4",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-829-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABTAI",
        "first_name": "YERANEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "43100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01238483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Sewell, MS, OTR/L
• Lakesha Seymour-Talford
• SG Senior Living, LLC
• Nicholas A Sgaglione, MD
• Shirin Shaban
• Ronit Shabtian
• Niousha Shadimoasser, M. ED.
• Shafa Pharmacy LLC
• Patrick Sean Aloysius Shafer
• David Shaffer

• General Practice Dentistry in Great Neck, NY
• Providers in Great Neck, 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 Dec 26, 2013; 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.