Shawn Salehezadeh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0516151 Issued in NY

Practice address

4104 27TH St Lowr Level
Long Island City, NY 11101-4949

Phone

(718) 937-2773

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nyc Smiling Dentist, PLLC

  • General Practice Dentistry
  • Long Island City, NY
  • NPI 1831703115
  NPD Authorized official
• New York Sleep Solutions LLC

  • General Practice Dentistry
  • New York, NY
  • NPI 1376433615
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1710079694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 27TH ST LOWR LEVEL",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014949",
            "telephone_number": "718-937-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 27TH ST LOWR LEVEL",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014949",
            "telephone_number": "718-937-2773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Madison Ave",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160971",
            "country_code": "US",
            "telephone_number": "212-768-7422",
            "fax_number": "212-768-9524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALEHEZADEH",
        "first_name": "SHAWN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0516151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Saul Sakolsky, PHARMACIST
• Payne Sakyi
• Temitope Salako
• Jazmin Eugenia Salazar, RN
• Kiara Salcedo
• Sarah Salem, CCC-SLP
• Tyler Salfarlie
• Shanyq Genyne Salop, NP
• Ruth Gricelda Salvatierra Villegas
• Deborah Salwen, PT

• Dentist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.