NPIMap

Organization Active NPI

Sanford Shaev, D.D.S.

  • Dentist
  • Mount Vernon, NY
National Provider Identifier
1477729309
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
028493 Issued in NY
Legal business name
SANFORD SHAEV, D.D.S.
Practice address
105 Stevens Ave
Suite 606
Mount Vernon, NY 10550-2686
Phone
(914) 699-6191
NPI assigned
Apr 30, 2008
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Sanford Shaev, D.D.S.NPI 1083776702
Title
Dentist
Phone
(914) 699-6191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 028493 NY Primary

Addresses

Primary practice location

105 Stevens Ave
Suite 606
Mount Vernon, NY 10550-2686

Mailing address

105 Stevens Ave
Suite 606
Mount Vernon, NY 10550-2686
Phone (914) 699-6191

Other identifiers 1

IdentifierTypeStateIssuer
01537351MedicaidNY

National Provider Directory

National Provider Directory

Locations

105 Stevens Ave
Ste 606
Mount Vernon, NY 10550
Phone (914) 699-6191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1477729309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "SUITE 606",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-699-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "SUITE 606",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-699-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD SHAEV, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "SHAEV",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "914-699-6191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "028493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01537351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.