Individual provider Active NPI

Olga Shaposhnikov, DDS,MS

  • Prosthodontics
  • New York, NY
National Provider Identifier
1144489337
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
051707 Issued in NY
Practice address
535 Hudson St Apt 1E
New York, NY 10014-3254
Phone
(646) 852-6890
Fax
(646) 390-5046
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 051707 NY
Prosthodontics 1223P0700X 051707 NY Primary

Addresses

Primary practice location

535 Hudson St Apt 1E
New York, NY 10014-3254

Mailing address

535 Hudson St Apt 1E
New York, NY 10014-3254
Phone (646) 852-6890

Other practice location 1

39 5th Ave
New York, NY 10003-4339
Phone (646) 371-7125

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
051707NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1144489337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 HUDSON ST APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143254",
            "telephone_number": "646-852-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 HUDSON ST APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143254",
            "telephone_number": "646-852-6890",
            "fax_number": "646-390-5046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100034339",
            "country_code": "US",
            "telephone_number": "646-371-7125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPOSHNIKOV",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051707",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "051707",
            "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 Jan 5, 2023; 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.