Shine Bright Dental Services PC

Primary specialty

DentistTaxonomy code 122300000X

License

054540 Issued in NY

Legal business name

SHINE BRIGHT DENTAL SERVICES PC

Practice address

2027 3Rd Ave
Dental Storefront
New York, NY 10029

Phone

(212) 996-0900

NPI assigned

Jan 18, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Tanu Prakash, DDS

Title

Dentist

Phone

(212) 996-0900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1578071031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 3RD AVE",
            "address_2": "DENTAL STOREFRONT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-996-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 3RD AVE",
            "address_2": "DENTAL STOREFRONT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-996-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE BRIGHT DENTAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "TANU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-996-0900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "054540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharwari Sanjay Shinde, PT
• Swapnali R Shinde, PT
• Ellie Shinder
• Yu Shindo, MD
• Shine Acupuncture Wellness PLLC
• Shine Dentistry Midtown
• Shine Healthcare Group LLC
• Shine Medical PC
• Antoinette Bonafede Shine, LCSW
• Daniel Isaac Shine, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.