John Shi DDS PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

048485 Issued in NY

Legal business name

JOHN SHI DDS PC

Doing business as

Centre Dental

Practice address

139 Centre St
#306
New York, NY 10013-4552

Phone

(212) 925-7066

Fax

(201) 255-0148

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. John L Shi, DDSNPI 1104044791

Title

President

Phone

(917) 640-8262

Specialties & licenses 1

Addresses

Other names 1

• Centre Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John L Shi, DDS

  • Dentist
  • New York, NY
  • NPI 1104044791
  NPD (past) Authorized official

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1316327760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "#306",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-925-7066",
            "fax_number": "201-255-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "#306",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-925-7066",
            "fax_number": "201-255-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SHI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "SHI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-640-8262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "048485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centre Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John P. Lyden, M.D., P.C.
• John Quagliarello, MD, PC
• John R Denton, M.D. P.C.
• John Rheinstein, CP, Inc.
• John Ryan, MD PC
• John Thomas Barnard MD PC
• John W. O'Grady MDPC
• John X Wang Acupuncture PC
• Wendy Michelle John-Page
• Azad John-Salimi, M.D.

• Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.