Active NPI
Svetlana Shapiro, DDS
- Dentist
- New York, NY
National Provider Identifier
1184818429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 044996
- Practice address
- 145 Nagle Ave
New York, NY 10040-1456 - Phone
- (212) 942-9228
- Fax
- (212) 942-8846
- NPI assigned
- Aug 29, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 044996 | NY | Primary |
Addresses
Primary practice location
145 Nagle Ave
New York, NY 10040-1456
Mailing address
145 Nagle Ave
New York, NY 10040-1456
Phone (212) 942-9228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01531626 | Medicaid | NY |
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 |
|---|---|---|---|
| 044996 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1184818429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 NAGLE AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100401456",
"telephone_number": "212-942-9228",
"fax_number": "212-942-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 NAGLE AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100401456",
"telephone_number": "212-942-9228",
"fax_number": "212-942-8846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "SVETLANA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "044996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01531626",
"state": "NY"
}
],
"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 Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.