Paul Shteynberg, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18262 Issued in MA

Practice address

366 Broadway
Suite 202
Somerville, MA 02145

Phone

(617) 623-7474

Fax

(617) 591-9747

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578619672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 BROADWAY",
            "address_2": "SUITE 202",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "02145",
            "telephone_number": "617-623-7474",
            "fax_number": "617-591-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 BROADWAY",
            "address_2": "SUITE 202",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "02145",
            "telephone_number": "617-623-7474",
            "fax_number": "617-591-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTEYNBERG",
        "first_name": "PAUL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0278521",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliyah Shivji, DMD
• Nat Shogren
• Maile S Shoul
• Jan R Shoyer, M.D.
• Anjana Shrestha, R.N.
• Rachel Eileen Shuler
• Gail B Shulman, MED
• Julie Marie Shulman, PT, DPT
• Rachel Shunamon
• Gitta Motylew Shuster, D.M.D.

• General Practice Dentistry in Somerville, MA
• Providers in Somerville, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.