Active NPI
Shay Shmuel Yosef Sharon, DMD
- Student in an Organized Health Care Education/Training Program
- Boston, MA
National Provider Identifier
1629715701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Oral and Maxillofacial Surgery Department, Boston Medic
635 Albany St Boston University School of Dental Medici
Boston, MA 02118 - Phone
- (617) 414-7558
- NPI assigned
- May 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Oral and Maxillofacial Surgery Department, Boston Medic
635 Albany St Boston University School of Dental Medici
Boston, MA 02118
Mailing address
Shmuel Natan Iu Apt. 3
Jerusalem, JERUSALEM 9641207
IL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230111002205 | MA | Order and Referring Only - Oral Surgery | 9335519149 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1629715701",
"addresses": [
{
"country_code": "IL",
"country_name": "Israel",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "SHMUEL NATAN IU APT. 3",
"city": "JERUSALEM",
"state": "JERUSALEM",
"postal_code": "9641207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ORAL AND MAXILLOFACIAL SURGERY DEPARTMENT, BOSTON MEDIC",
"address_2": "635 ALBANY ST BOSTON UNIVERSITY SCHOOL OF DENTAL MEDICI",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-414-7558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARON",
"first_name": "SHAY",
"middle_name": "SHMUEL YOSEF",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-19",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.