Charles Douglas Shemet, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043947 Issued in NY

Practice address

254 N Country Rd
Miller Place, NY 11764-2302

Phone

(631) 928-1278

Fax

(631) 928-2879

NPI assigned

Sep 25, 2008

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

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1881844884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5560",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641204",
            "telephone_number": "631-928-1278",
            "fax_number": "631-928-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 N COUNTRY RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642302",
            "telephone_number": "631-928-1278",
            "fax_number": "631-928-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMET",
        "first_name": "CHARLES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rizziene Sedayao, OTRL
• Parisa Sehatpour, LCSW
• Alexandria Rae Serra
• Michelle Lynn Seufert, LMSW
• Patricia Severino, RN
• Lea Marie Shemet, D.D.S.
• David Shumsey, RPH
• Emily Marie Sicinski, MS, RDN, CDN
• Catherine Anne Silvers
• Jamie C Skaggs, DC

• General Practice Dentistry in Miller Place, NY
• Providers in Miller Place, 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 Sep 25, 2008; 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.