Individual provider Active NPI

Ulfat Shafiq, DMD

  • Dentist
  • Greece, NY
National Provider Identifier
1609308709
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
059900 Issued in NY
Practice address
1100 Long Pond Rd Ste 115
Greece, NY 14626
Phone
(585) 225-7790
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
059900NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence J Giangreco D.D.S. and Lawrence J. Giangreco Jr. D.D.S. PC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 059900 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1100 Long Pond Rd Ste 115
Greece, NY 14626

Mailing address

1425 Portland Ave
Rochester, NY 14621-3001

Other practice location 1

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-5731

Other practice location 2

1285 Creek St
Webster, NY 14580-2213
Phone (585) 671-2930

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2024.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1609308709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LONG POND RD STE 115",
            "city": "GREECE",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-225-7790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213001",
            "country_code": "US",
            "telephone_number": "585-922-5731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1285 Creek St",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145802213",
            "country_code": "US",
            "telephone_number": "585-671-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFIQ",
        "first_name": "ULFAT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "059900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greece, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.