Shu'S Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050090 Issued in NY

Legal business name

SHU'S DENTAL, P.C.

Practice address

13636 39TH Ave Ste 8
Flushing, NY 11354-5576

Phone

(718) 886-7808

NPI assigned

Apr 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tim Shu

Title

President

Phone

(718) 886-7808

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xiao-Quan Shu

  • General Practice Dentistry
  • Flushing, NY
  • NPI 1104816032
  NPD (past)

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1811374622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 39TH AVE STE 8",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545576",
            "telephone_number": "718-886-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13636 39TH AVE STE 8",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545576",
            "telephone_number": "718-886-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHU'S DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "SHU",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-7808",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navaz Shroff, M.S. CCC-SLP
• Alla Shteynman, MD
• Anna Shtrakhman
• Shu Qiu
• Xiao-Quan Shu
• Davida Shubowitz, OTR/L
• Hari Krishna Shukla, MD
• Esther Shulman
• Evan Seth Shulman, P.A.
• Jennifer Shum, MD

• General Practice Dentistry in Flushing, NY
• Providers in Flushing, 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 Apr 30, 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.