NPIMap

Organization Active NPI

Lyudmila Shnayder DMD PC

  • General Practice Dentistry
  • Everett, MA
National Provider Identifier
1518047760
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20091 Issued in MA
Legal business name
LYUDMILA SHNAYDER DMD PC
Doing business as
Everett Dental Center
Practice address
95 Main STR
Suite 1
Everett, MA 02149
Phone
(617) 387-2233
Fax
(617) 389-2233
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lyudmila V Shnayder
Title
President
Phone
(617) 387-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20091 MA Primary

Addresses

Primary practice location

95 Main STR
Suite 1
Everett, MA 02149

Mailing address

95 Main Street
Suite 1
Everett, MA 02149
Phone (617) 387-2233

Other identifiers 1

IdentifierTypeStateIssuer
0204510MedicaidMA

Other names 1

  • Everett Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Everett Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

95 Main St
#1
Everett, MA 02149
Phone (617) 387-2233

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518047760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MAIN STREET",
            "address_2": "SUITE 1",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "02149",
            "telephone_number": "617-387-2233",
            "fax_number": "617-389-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAIN STR",
            "address_2": "SUITE 1",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "02149",
            "telephone_number": "617-387-2233",
            "fax_number": "617-389-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYUDMILA SHNAYDER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHNAYDER",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-387-2233",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204510",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everett Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.