Active NPI
White Plains Dental Care, PLLC
- General Practice Dentistry
- White Plains, NY
National Provider Identifier
1629410253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WHITE PLAINS DENTAL CARE, PLLC
- Practice address
- 114 Mamaroneck Ave
White Plains, NY 10601-5201 - Phone
- (914) 615-9888
- Fax
- (914) 615-9877
- NPI assigned
- Jul 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roman Shamuelov, D.D.S
- Title
- President
- Phone
- (914) 615-9888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NY | Primary |
Addresses
Primary practice location
114 Mamaroneck Ave
White Plains, NY 10601-5201
Mailing address
114 Mamaroneck Ave
White Plains, NY 10601-5201
Phone (914) 615-9888
National Provider Directory
National Provider DirectoryLocations
114 Mamaroneck Ave
White Plains, NY 10601
Phone (914) 615-9888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Hackensack, NJ
- NPI 1104203272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374624000000",
"number": "1629410253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 MAMARONECK AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106015201",
"telephone_number": "914-615-9888",
"fax_number": "914-615-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 MAMARONECK AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106015201",
"telephone_number": "914-615-9888",
"fax_number": "914-615-9877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE PLAINS DENTAL CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-24",
"last_updated": "2013-07-24",
"status": "A",
"authorized_official_last_name": "SHAMUELOV",
"authorized_official_first_name": "ROMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-615-9888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
- White Plains Ambulatory Surgery Center
- White Plains Ambulatory Surgery Center, LLC
- White Plains Cardiology and Neurology Associates,P.C.
- White Plains Center for Nursing Care, LLC
- White Plains City School District
- White Plains Dental PLLC
- White Plains Dental Provider PLLC
- White Plains Dermatology Assoc PC
- White Plains Eye Care 1 Inc
- White Plains Eye Care, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.