Active NPI
Adam David Shatz, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oceanside, NY
National Provider Identifier
1164603197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN124016
- Practice address
- 3471 Long Beach Rd
Oceanside, NY 11572-5424 - Phone
- (516) 536-5800
- Fax
- (516) 536-3578
- NPI assigned
- Nov 19, 2007
- Last updated
- Oct 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN124016 | GA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 11218 | SC | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 047087 | NY |
Addresses
Primary practice location
3471 Long Beach Rd
Oceanside, NY 11572-5424
Mailing address
3471 Long Beach Rd
Oceanside, NY 11572-5424
Phone (516) 536-5800
Other names 1
- Dr. Adam David Shatz
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN124016 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 11218 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 047087 | NY | MD | Psychiatric Pharmacist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Oceanside, NY
- NPI 1023314713
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oceanside, NY
- NPI 1659002129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1164603197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3471 LONG BEACH RD",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115725424",
"telephone_number": "516-536-5800",
"fax_number": "516-208-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3471 LONG BEACH RD",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115725424",
"telephone_number": "516-536-5800",
"fax_number": "516-536-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHATZ",
"first_name": "ADAM",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-19",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN124016",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "SC",
"license": "11218",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "047087",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADAM",
"last_name": "SHATZ",
"middle_name": "DAVID",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.