Organization Active NPI

Martin Shapiro DDS,PC

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1609904010
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARTIN SHAPIRO DDS,PC
Practice address
839 Utica Ave
Brooklyn, NY 11203-3410
Phone
(718) 385-3496
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Dr. Martin Elliott Shapiro, DDSNPI 1215918180
Title
President
Phone
(718) 385-3496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

839 Utica Ave
Brooklyn, NY 11203-3410

Mailing address

8 Cornell PL
East Rockaway, NY 11518-1306
Phone (516) 596-9262

Other identifiers 1

IdentifierTypeStateIssuer
00921926MedicaidNY

National Provider Directory

National Provider Directory

Locations

839 Utica Ave
Brooklyn, NY 11203
Phone (718) 385-3496

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1609904010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CORNELL PL",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181306",
            "telephone_number": "516-596-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033410",
            "telephone_number": "718-385-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN SHAPIRO DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-385-3496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00921926",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.