Elham Shadpour, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

056345 Issued in NY

Practice address

7015 Cooper Ave FL 1
Glendale, NY 11385-7244

Phone

(718) 689-6060

NPI assigned

Aug 30, 2012

Sex

Female

Sole proprietor

No

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 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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Elmont, NY
  • NPI 1336669670
  Medicare reassignment NPD
• Shadpour Dentistry, PLLC

  • General Practice Dentistry
  • Glendale, NY
  • NPI 1942997135
  NPD Authorized official
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • North Baldwin, NY
  • NPI 1205704319
  NPD
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Hempstead, NY
  • NPI 1962716050
  NPD

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1548519960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 COOPER AVE FL 1",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857244",
            "telephone_number": "718-689-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 COOPER AVE FL 1",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857244",
            "telephone_number": "718-689-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADPOUR",
        "first_name": "ELHAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Selinger, D.M.D.
• Annette Seminatore, MSSPECED
• John J Serra, OTR
• Rio A Sferrazza, DO
• Shadpour Dentistry, PLLC
• Sharma Rehabilitation Services PLLC
• Sharon Lynn Pharmacy Inc
• Elsie Shegbone, SPECIAL EDUCATION
• Boris Z Sheinkerman, MD
• Steven Shih, DPT

• Dentist in Glendale, NY
• Providers in Glendale, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.