Nathan Shapiro, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

401415270 Issued in VA

Practice address

1230 Progressive Dr
Suite 103
Chesapeake, VA 23320-0203

Phone

(757) 436-1270

NPI assigned

May 19, 2015

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

Medicare fee-for-service enrollment

Enrolled in VA

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495152000000",
    "number": "1235518622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 PROGRESSIVE DR",
            "address_2": "SUITE 103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200203",
            "telephone_number": "757-436-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 PROGRESSIVE DR",
            "address_2": "SUITE 103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200203",
            "telephone_number": "757-436-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2017-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415270",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "401415270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shallortho
• Shalom Home Healthcare LLC
• Rouzbeh Shams, M.D.
• Shanavin Bennett
• Shands Home Care, LLC
• Craig M Sharkey, M.D.
• Janice Sharma, MS, CCC-SLP
• Kshitij Sharma, M.D., M.S.P.H.
• Sharon Y. Colvin, D.D.S., P.C
• Bradley Allen Sharp, HMC SF-IDC

• Pediatric Dentistry in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; 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.