Geetha B Shetty, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047437 Issued in NY

Practice address

8715 37TH Ave
Professional Office a
Jackson Heights, NY 11372-7701

Phone

(718) 651-8488

Fax

(718) 651-8402

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Practice roles

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.

• Viva Dental, P.C.

  • Dental Clinic/Center
  • Jackson Heights, NY
  • NPI 1265851075
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275617482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 37TH AVE",
            "address_2": "PROFESSIONAL OFFICE A",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727701",
            "telephone_number": "718-651-8488",
            "fax_number": "718-651-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 37TH AVE",
            "address_2": "PROFESSIONAL OFFICE A",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727701",
            "telephone_number": "718-651-8488",
            "fax_number": "718-651-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "GEETHA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02460873",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronit Shemi, LCSW
• Sherman Rubin, MD
• Lhakpa Dolma Sherpa
• Pasang Lhamo Sherpa, MS, LMHC
• Sejal Sheth
• Towhid Hossain Shiblee, M.D.
• Marina Shifrin, MS.ED/TSHH
• Anil B Shirwaikar, M.D.
• Eduard Shnaydman, D.O.
• Nora Shokrian, DDS

• General Practice Dentistry in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.