Shen Dai, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045503 Issued in NY

Practice address

726 60TH St
Brooklyn, NY 11220-4210

Phone

(718) 492-9807

Fax

(718) 761-7377

NPI assigned

Oct 31, 2005

Last updated

Sep 6, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1184615171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COVERLY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014548",
            "telephone_number": "718-492-9807",
            "fax_number": "718-567-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 60TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204210",
            "telephone_number": "718-492-9807",
            "fax_number": "718-761-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAI",
        "first_name": "SHEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01623945",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julius Dahne
• Evelyn Dahyoh
• Guorong Dai, M.D
• Louis Dai
• Matthew S. Dai, MD
• Yuqian Dai, MD
• Cathy Daichang
• Elizabeth Daiello, LMHC
• Abanub Samuel Daif
• Mahmoud Elsayed Dawood Daif, PT

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, 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 Sep 6, 2012; 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.