Active NPI
Ulfat Shafiq, DMD
- Dentist
- Greece, NY
National Provider Identifier
1609308709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 059900
- 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.
-
- General Practice Dentistry
- Webster, NY
- NPI 1952429185
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
| License | State | Type | Specialty |
|---|---|---|---|
| 059900 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 059900 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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.