Individual provider Active NPI

Stuart M. Shoflick

  • General Practice Dentistry
  • Rocky Hill, CT
National Provider Identifier
1912918863
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7650 Issued in CT
Practice address
2139 Silas Deane Hwy
Rocky Hill, CT 06067-2336
Phone
(860) 529-0624
Fax
(860) 721-0407
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7650 CT Primary

Addresses

Primary practice location

2139 Silas Deane Hwy
Rocky Hill, CT 06067-2336

Mailing address

22 Buckingham LN
West Hartford, CT 06117-2757
Phone (860) 231-8144

Other names 1

  • Dr. Stuart M. Shoflick Professional name

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
I20150716000010 CT Order and Referring Only - DentistPractitioner - Dentist 9133432461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barnett & Shoflick, P.C. General Practice 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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912918863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BUCKINGHAM LN",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172757",
            "telephone_number": "860-231-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672336",
            "telephone_number": "860-529-0624",
            "fax_number": "860-721-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOFLICK",
        "first_name": "STUART",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STUART",
            "last_name": "SHOFLICK",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.