Andrii Shportko, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

059514-01 Issued in NY

Practice address

145 Walgrove Ave
Dobbs Ferry, NY 10522-3106

Phone

(847) 987-0079

NPI assigned

Feb 25, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Dr. Shportko PLLC

  • General Practice Dentistry
  • Stamford, CT
  • NPI 1427661453
  NPD Authorized official

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1376903955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WALGROVE AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223106",
            "telephone_number": "847-987-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WALGROVE AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223106",
            "telephone_number": "847-987-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHPORTKO",
        "first_name": "ANDRII",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-25",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "059514-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Schwartz
• Arleen Sharpe, M.D.
• Kurtisa L Shaw, LMSW
• Penelope Gay Sheely, M.D.
• Elana Shoykhet
• Mark Sigfried Silberman, M.D.
• Jennifer Silver, MASTERS OF SPEC ED
• Mansi Shah Singh, DO
• Megan Marie Singh, BSN,RN
• Vimala Sivapragasam, PHARM. D, BCPS

• Orthodontics and Dentofacial Orthopedics Dentistry in Dobbs Ferry, NY
• Providers in Dobbs Ferry, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.