Individual provider Active NPI

Caroline Shenker, DMD

  • Dentist
  • Mount Kisco, NY
National Provider Identifier
1891922811
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
009131 Issued in CT
Practice address
83 S Bedford Rd
Mount Kisco, NY 10549-3429
Phone
(914) 244-3900
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 009131 CT Primary

Addresses

Primary practice location

83 S Bedford Rd
Mount Kisco, NY 10549-3429

Mailing address

60 Katona Dr
Ste 20
Fairfield, CT 06824-3544
Phone (203) 561-5749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160725001850 CT Order and Referring Only - DentistPractitioner - Dentist 4082907399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009131CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Smiles of Fairfield Dentist Past Accepting new patients

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1891922811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 KATONA DR",
            "address_2": "STE 20",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243544",
            "telephone_number": "203-561-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 S BEDFORD RD",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493429",
            "telephone_number": "914-244-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENKER",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "009131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.