Individual provider Active NPI

Vladislav Shikhmanter, DDS

  • Dentist
  • Englishtown, NJ
National Provider Identifier
1346415932
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20987 Issued in NJ
Practice address
184 Route 9
Englishtown, NJ 07726-8454
Phone
(732) 617-8411
Fax
(732) 617-8412
NPI assigned
Apr 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20987 NJ Primary

Addresses

Primary practice location

184 Route 9
Englishtown, NJ 07726-8454

Mailing address

184 Route 9
Englishtown, NJ 07726-8454
Phone (732) 617-8411

Other names 1

  • Vladislav Shikhmanter Professional name

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
20987NJMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
VSN Dental PC Past Accepting new patients

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1346415932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 ROUTE 9",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268454",
            "telephone_number": "732-617-8411",
            "fax_number": "732-617-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 ROUTE 9",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268454",
            "telephone_number": "732-617-8411",
            "fax_number": "732-617-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKHMANTER",
        "first_name": "VLADISLAV",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "20987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VLADISLAV",
            "last_name": "SHIKHMANTER",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Englishtown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.