Uroglow Aesthetics, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

UROGLOW AESTHETICS, LLC

Practice address

730 Hebron Ave Ste 10
Glastonbury, CT 06033-5016

Phone

(860) 266-5550

NPI assigned

Jun 22, 2026

Organization subpart

No

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

Authorized official

Name

Shanta Shepherd, MDNPI 1174986756

Title

Owner, MD

Phone

(860) 266-5550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shanta Shepherd, M.D,

  • Urology Physician
  • Glastonbury, CT
  • NPI 1174986756
  Authorized official Same address or phone

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1699601138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HEBRON AVE STE 10",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HEBRON AVE STE 10",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335016",
            "telephone_number": "860-266-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROGLOW AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "SHANTA",
        "authorized_official_title_or_position": "OWNER, MD",
        "authorized_official_telephone_number": "860-266-5550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Multi-Specialty Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.