Mary E Cheatham

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056332 Issued in NY

Practice address

2110 Northern Blvd Ste 204
Manhasset, NY 11030-3500

Phone

(516) 365-4543

NPI assigned

Mar 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1740589548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ABBEY RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302722",
            "telephone_number": "516-996-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 NORTHERN BLVD STE 204",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303500",
            "telephone_number": "516-365-4543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Cmmunity Drive",
            "address_2": "Dental Center",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "11030",
            "country_code": "US",
            "telephone_number": "516-562-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEATHAM",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Charczuk, MS SLP
• Zainab Amjad Chaudhary, MD
• Shereen Chaudhry, MD
• Mahesh Inder Singh Chauhan, M.D.
• Stephanie S Chavez
• Cheema Chiropractic PLLC
• Anna Chen, MD
• Anne Chen
• Carol Chen, MD
• Dazhi Chen

• General Practice Dentistry in Manhasset, NY
• Providers in Manhasset, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.