Cape Cod Restorative Dentistry, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN1856256 Issued in MA

Legal business name

CAPE COD RESTORATIVE DENTISTRY, INC

Practice address

923 Main St Unit H
Yarmouth Port, MA 02675-2159

Phone

(617) 325-0660

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Olga Shemanyuk, DMD

Title

General Dentist

Phone

(617) 325-0660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1659828085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 COOLIDGE AVE APT 410",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722866",
            "telephone_number": "617-325-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 MAIN ST UNIT H",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752159",
            "telephone_number": "617-325-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE COD RESTORATIVE DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "SHEMANYUK",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "617-325-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1856256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Bono, LICSW
• Hillard Mayer Boskey, M.D.
• Jeffrey Brown
• Margaret Mary Bunzick, L.I.C.S.W.
• Cape Cod Periodontics PC
• Cape Senior Home Healthcare LLC
• Sarah Marie Carlozzi
• Kendall Ceban, LMHC
• Gail Chen, CNS
• Emma Jean Cibere

• Dental Clinic/Center in Yarmouth Port, MA
• Providers in Yarmouth Port, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.