Individual provider Active NPI

Simon Sheinkman, D.D.S

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1205103116
Registry record updated Nov 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039106 Issued in NY
Practice address
216 E 39TH St
New York, NY 10016-2738
Phone
(646) 861-3070
Fax
(646) 861-2980
NPI assigned
Nov 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 039106 NY Primary

Addresses

Primary practice location

216 E 39TH St
New York, NY 10016-2738

Mailing address

216 E 39TH St
New York, NY 10016-2738
Phone (646) 861-3070

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

LicenseStateTypeSpecialty
039106NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rivson Dental PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321747200000",
    "number": "1205103116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E 39TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162738",
            "telephone_number": "646-861-3070",
            "fax_number": "646-861-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E 39TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162738",
            "telephone_number": "646-861-3070",
            "fax_number": "646-861-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEINKMAN",
        "first_name": "SIMON",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-20",
        "last_updated": "2011-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039106",
            "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 Nov 20, 2011; 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.