Active NPI
Sean Challenger
- Pediatric Dentistry
- Shirley, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 061984
- Practice address
- 640 Montauk Hwy Ste C
Shirley, NY 11967-2115 - Phone
- (631) 399-1600
- NPI assigned
- Apr 21, 2019
- Last updated
- Sep 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 061984 | NY | Primary |
Addresses
Primary practice location
640 Montauk Hwy Ste C
Shirley, NY 11967-2115
Mailing address
141 E Eckerson Rd
Spring Valley, NY 10977-3133
Phone (845) 659-3161
Other practice location 1
919 Deer Park Ave
North Babylon, NY 11703-3809
Phone (631) 893-7000
Other practice location 2
18-15 Francis Lewis Blvd
Whitestone, NY 11357-3836
Phone (718) 746-1230
Other practice location 3
750 Roanoke Ave
Riverhead, NY 11901-2791
Phone (631) 727-8585
Other practice location 4
7 Mark Tree Rd
Centereach, NY 11720-2221
Phone (631) 585-6600
Other practice location 5
500 Portion Rd Ste 16
Ronkonkoma, NY 11779-4587
Phone (631) 451-7700
Other practice location 6
5036 Jericho Tpke Ste 307
Commack, NY 11725-2812
Phone (631) 203-1145
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
| License | State | Type | Specialty |
|---|---|---|---|
| 061984 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Smiles for Kids, LLC | Pediatric Dentistry | Past | Accepting new patients |
| Supersmiles KDS Dental PC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Dental Smiles for Kids Babylon
- Pediatric Dentistry
- North Babylon, NY
- NPI 1811639271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1861055246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E ECKERSON RD",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109773133",
"telephone_number": "845-659-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 MONTAUK HWY STE C",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119672115",
"telephone_number": "631-399-1600"
}
],
"practiceLocations": [
{
"address_1": "919 Deer Park Ave",
"address_purpose": "LOCATION",
"city": "North Babylon",
"state": "NY",
"postal_code": "117033809",
"country_code": "US",
"telephone_number": "631-893-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18-15 Francis Lewis Blvd",
"address_purpose": "LOCATION",
"city": "Whitestone",
"state": "NY",
"postal_code": "113573836",
"country_code": "US",
"telephone_number": "718-746-1230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 Roanoke Ave",
"address_purpose": "LOCATION",
"city": "Riverhead",
"state": "NY",
"postal_code": "119012791",
"country_code": "US",
"telephone_number": "631-727-8585",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Mark Tree Rd",
"address_purpose": "LOCATION",
"city": "Centereach",
"state": "NY",
"postal_code": "117202221",
"country_code": "US",
"telephone_number": "631-585-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Portion Rd Ste 16",
"address_purpose": "LOCATION",
"city": "Ronkonkoma",
"state": "NY",
"postal_code": "117794587",
"country_code": "US",
"telephone_number": "631-451-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5036 Jericho Tpke Ste 307",
"address_purpose": "LOCATION",
"city": "Commack",
"state": "NY",
"postal_code": "117252812",
"country_code": "US",
"telephone_number": "631-203-1145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHALLENGER",
"first_name": "SEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-21",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "061984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.