Daniel Shemtob, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

06263101 Issued in NY

Practice address

1587 E 27TH St
Brooklyn, NY 11229-1709

Phone

(917) 499-2523

NPI assigned

Apr 29, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Daniel Shemtob Professional name

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1205419041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "917-499-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 E 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291709",
            "telephone_number": "917-499-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMTOB",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "06263101",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "06263101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "SHEMTOB",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shema Kolainu - Hear Our Voices
• Shema Kolainu Hear Our Voices
• Michele Shemaev
• Ahuva R Shemesh, MS RD
• Rivka Shemesh, OTR/L
• Liora Shemtob, OTR/L
• Devorah Shemtoub
• Tzipora Shemtoub
• Chaya Shemtov
• Chaya Shemtov, MS SP ED

• Pediatric Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.