Gayathri Manjunath Shenoy, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS042655 Issued in PA

Practice address

23 N 6TH St
Allentown, PA 18101-1431

Phone

(610) 384-2541

NPI assigned

Jun 26, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1710407168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N 6TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181011430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N 6TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181011431",
            "telephone_number": "610-384-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOY",
        "first_name": "GAYATHRI",
        "middle_name": "MANJUNATH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS042655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheltering Arms Homecare LLC
• Karen Shemanski, D.O.
• Samantha Shemanski, PA
• Abby Sheneman, LCSW
• Daniel Shenouda, MD
• Samantha Shepard
• Shepherd Hills Eye Care Center, LLC
• Kimberly Sheppard, NCC, LPC
• Stephan Robert Sher, D.O.
• Mindi Joan Sherer, FNP-C

• Periodontics in Allentown, PA
• Providers in Allentown, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.

Verify at the official NPI Registry.