My Smiles Pediatric Dentistry of Queens PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MY SMILES PEDIATRIC DENTISTRY OF QUEENS PC

Practice address

7914 164TH St
Jamaica, NY 11432-1115

Phone

(917) 293-8298

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Sharona Shimunova, DDSNPI 1780046086

Title

Dentist/Owner

Phone

(917) 293-8298

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharona Shimunova, DDS

  • Pediatric Dentistry
  • Manhasset, NY
  • NPI 1780046086
  NPD Authorized official

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1548924277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7914 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321115",
            "telephone_number": "917-293-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SMILES PEDIATRIC DENTISTRY OF QUEENS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "SHIMUNOVA",
        "authorized_official_first_name": "SHARONA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "917-293-8298",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mysmilespeds@gmail.com",
            "affiliation": "N",
            "address_1": "7914 164th St",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114321115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zaheda Tasneem Mussa
• Nawaz Mussaleen
• Hikmah Mustafa
• Anne Lukundula Mutombo
• My Nu Plan LLC
• Eva Maud Myers Grainger
• Esmine Ann Myers
• Lloyd Lynford Myers, PA
• Myf Acupuncture PC
• Hana Marie Myjer, LMSW

• Pediatric Dentistry in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.