Individual provider Active NPI

Megan J Shemanski, D.D.S.

  • Dentist
  • Rockville Centre, NY
National Provider Identifier
1306030010
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
051903-1 Issued in NY
Practice address
371 Merrick Rd Ste 205
Rockville Centre, NY 11570-5301
Phone
(516) 415-2972
Fax
(516) 766-6066
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 051903-1 NY Primary

Addresses

Primary practice location

371 Merrick Rd Ste 205
Rockville Centre, NY 11570-5301

Mailing address

371 Merrick Rd Ste 205
Rockville Centre, NY 11570-5301
Phone (516) 415-2972

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

LicenseStateTypeSpecialty
051903-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockville Endodontics, PC CurrentSince Feb 16, 2020 Accepting new patients

Locations

371 Merrick Rd
Ste 205
Rockville Centre, NY 11570
Phone (516) 415-2972

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1306030010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 MERRICK RD STE 205",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705301",
            "telephone_number": "516-415-2972",
            "fax_number": "516-766-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 MERRICK RD STE 205",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705301",
            "telephone_number": "516-415-2972",
            "fax_number": "516-766-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMANSKI",
        "first_name": "MEGAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051903-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.