Individual provider Active NPI

Lee Mitchell Shainbrown, DDS

  • General Practice Dentistry
  • West Seneca, NY
National Provider Identifier
1407972870
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052059 Issued in NY
Practice address
2177 Union Rd
West Seneca, NY 14224-1428
Phone
(716) 668-4646
Fax
(716) 656-7935
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 052059 NY Primary

Addresses

Primary practice location

2177 Union Rd
West Seneca, NY 14224-1428

Mailing address

2177 Union Rd
West Seneca, NY 14224-1428
Phone (716) 668-4646

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151118002468 NY Order and Referring Only - DentistPractitioner - Dentist 3870893126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Applegate Dental, PLLC 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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407972870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241428",
            "telephone_number": "716-668-4646",
            "fax_number": "716-656-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241428",
            "telephone_number": "716-668-4646",
            "fax_number": "716-656-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAINBROWN",
        "first_name": "LEE",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.