David Elsharouny

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

060624 Issued in NY

Practice address

26 Dale Rd
Halesite, NY 11743-1424

Phone

(347) 922-8840

NPI assigned

Apr 11, 2018

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Male

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elsharouny Dental PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Garden City, NY
  • NPI 1104792076
  NPD

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1790282044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014235",
            "telephone_number": "516-663-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 DALE RD",
            "city": "HALESITE",
            "state": "NY",
            "postal_code": "117431424",
            "telephone_number": "347-922-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHAROUNY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "060624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailene Annette Abt
• Anne Ardito Dayton, MS ED.
• Frances R Datz, PHD LCSW
• Marilyn Desimone
• Tracy Ann Erickson
• Katherine Margaret Fautas, RD, CDN
• Patricia Fuchs, L.C.S.W.
• Shari Lynn Grey Bethiel, OTRL
• Stephen J Gross

• Orthodontics and Dentofacial Orthopedics Dentistry in Halesite, NY
• Providers in Halesite, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.