Shanta Warris Singh, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18857 Issued in FL

Practice address

1081 A1A Beach Blvd
St Augustine, FL 32080-6733

Phone

(904) 417-3291

NPI assigned

Mar 2, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1235452541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 JENKINS ST",
            "address_2": "STE 105A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865176",
            "telephone_number": "904-417-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 A1A BEACH BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806733",
            "telephone_number": "904-417-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "SHANTA",
        "middle_name": "WARRIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Simons, RBT
• Samantha Marie Simpkins
• Jordan Simusa
• Leslie Sinclair, MACCC/SLP,BCBA
• James Gregory Sindad, D.M.D.
• Yougeeta P Singh
• Kelly Ann Siragusa, P.T.
• Rebekah M Sireci, APRN, PMHNP-BC
• David Robert Skaggs
• Zoe Skirvin

• General Practice Dentistry in St Augustine, FL
• Providers in St Augustine, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.