Active NPI
Anupama Shama, D.D.S.
- Dentist
- New York, NY
National Provider Identifier
1265674535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 049934
- Practice address
- 133 E 58TH St
Suite 803
New York, NY 10022-1236 - Phone
- (212) 759-4969
- Fax
- (646) 735-1843
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 049934 | NY | Primary |
Addresses
Primary practice location
133 E 58TH St
Suite 803
New York, NY 10022-1236
Mailing address
133 E 58TH St
Suite 803
New York, NY 10022-1236
Phone (212) 759-4969
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 |
|---|---|---|---|
| 049934 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1265674535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 E 58TH ST",
"address_2": "SUITE 803",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221236",
"telephone_number": "212-759-4969",
"fax_number": "646-735-1843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E 58TH ST",
"address_2": "SUITE 803",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221236",
"telephone_number": "212-759-4969",
"fax_number": "646-735-1843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMA",
"first_name": "ANUPAMA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "049934",
"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 Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.