Individual provider Active NPI

Shana Weinman, D.D.S.

  • General Practice Dentistry
  • Great Neck, NY
National Provider Identifier
1790174100
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047877 Issued in NY
Practice address
233 E Shore Rd
Suite 110
Great Neck, NY 11023-2436
Phone
(516) 482-5924
Fax
(888) 311-9754
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 047877 NY Primary

Addresses

Primary practice location

233 E Shore Rd
Suite 110
Great Neck, NY 11023-2436

Mailing address

233 E Shore Rd
Suite 110
Great Neck, NY 11023-2436
Phone (516) 482-5924

Other names 1

  • Mrs. Shana Mashaal Other name

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

State licenses

LicenseStateTypeSpecialty
047877NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley M Fischman Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1790174100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E SHORE RD",
            "address_2": "SUITE 110",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232436",
            "telephone_number": "516-482-5924",
            "fax_number": "888-311-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E SHORE RD",
            "address_2": "SUITE 110",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232436",
            "telephone_number": "516-482-5924",
            "fax_number": "888-311-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINMAN",
        "first_name": "SHANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "MASHAAL",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 22, 2015; 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.