Individual provider Active NPI

Barbara Shehata

  • Dentist
  • Waterbury, CT
National Provider Identifier
1841033784
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14320 Issued in CT
Practice address
1302 S Main St
Waterbury, CT 06706-1748
Phone
(203) 756-8021
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14320 CT Primary

Addresses

Primary practice location

1302 S Main St
Waterbury, CT 06706-1748

Mailing address

80 Phoenix Ave
Waterbury, CT 06702-1418
Phone (203) 756-8021

Other practice location 1

30 Church St
Naugatuck, CT 06770-4112
Phone (203) 805-4929

Other practice location 2

80 Phoenix Ave Ste 305
Waterbury, CT 06702-1418
Phone (203) 756-8021

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
14320CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission Current Accepting new patients

Locations

119 Windsor St
Ste 2
Cambridge, MA 02139
Phone (617) 575-5229

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

Interoperability endpoints

  • Direct secure messaging: bshehata121288@direct.challiance.masshiway.net

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1841033784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PHOENIX AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021418",
            "telephone_number": "203-756-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061748",
            "telephone_number": "203-756-8021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Church St",
            "address_purpose": "LOCATION",
            "city": "Naugatuck",
            "state": "CT",
            "postal_code": "067704112",
            "country_code": "US",
            "telephone_number": "203-805-4929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Phoenix Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067021418",
            "country_code": "US",
            "telephone_number": "203-756-8021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEHATA",
        "first_name": "BARBARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "14320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.