Individual provider Active NPI

Sharona Hassid, D.D.S

  • Dentist
  • Great Neck, NY
National Provider Identifier
1740450253
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
045624 Issued in NY
Practice address
36 Brokaw LN
Great Neck, NY 11023-1160
Phone
(516) 423-9090
NPI assigned
Mar 11, 2008
Last updated
Mar 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 045624 NY Primary

Addresses

Primary practice location

36 Brokaw LN
Great Neck, NY 11023-1160

Mailing address

36 Brokaw LN
Great Neck, NY 11023-1160
Phone (516) 423-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1740450253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BROKAW LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231160",
            "telephone_number": "516-423-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BROKAW LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231160",
            "telephone_number": "516-423-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSID",
        "first_name": "SHARONA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.