Roy W. Shakun, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7112 Issued in CT

Practice address

342 N Main St
Suite 300
West Hartford, CT 06117-2500

Phone

(860) 233-0552

Fax

(860) 233-9614

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in CT

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Hartford Family Dentistry

  • General Practice Dentistry
  • West Hartford, CT
  • NPI 1487838330
  NPD (past) Authorized official
• West Hartford Family Dental PLLC

  • Dental Clinic/Center
  • West Hartford, CT
  • NPI 1740916071
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477663920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 N MAIN ST",
            "address_2": "SUITE 300",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172500",
            "telephone_number": "860-233-0552",
            "fax_number": "860-233-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 N MAIN ST",
            "address_2": "SUITE 300",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172500",
            "telephone_number": "860-233-0552",
            "fax_number": "860-233-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKUN",
        "first_name": "ROY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Healthcare LLC
• Peter Sereny, MD
• Sex and Love Therapy, LLC
• Dawn Shadron, LCSW
• Shamsa N Shafi, M.D.
• Fnu Shalni
• Shane Scott (Shane Scott Consulting PLLC)
• Deborah C Shapiro, LCS
• Lisa Shapiro, R.D.N
• Christine Leah Shapter, MD

• General Practice Dentistry in West Hartford, CT
• Providers in West Hartford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.