Dmitriy Shpak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7126 Issued in LA

Practice address

14666 W Main St
Cut Off, LA 70345-3208

Phone

(985) 632-6188

NPI assigned

Jul 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shpak Family Dentistry LLC

  • General Practice Dentistry
  • Cut Off, LA
  • NPI 1811708548
  NPD Authorized official
• Comfort Dental Care, LLC

  • Dental Clinic/Center
  • Kansas City, MO
  • NPI 1700920121
  NPD (past)
• United Methodist Western Kansas Mexican American Ministries, Inc.

  • Federally Qualified Health Center (FQHC)
  • Garden City, KS
  • NPI 1083752935
  NPD (past)

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1922617752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14666 W MAIN ST",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703453208",
            "telephone_number": "985-632-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14666 W MAIN ST",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703453208",
            "telephone_number": "985-632-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHPAK",
        "first_name": "DMITRIY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020024031",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dant Ashley Sandras, DDS
• Bud Lee Sayes, CRNA
• Katherine P Scanio, MSW, LCSW, DCSW
• Stephanie Vu Shicksnider
• Shpak Family Dentistry LLC
• Eddie M Smith, MD
• Special Education District 1 of Lafourche
• Special Education District 1 of Lafourche
• Special Education District 1 of Lafourche
• Special Education District 1 of Lafourche

• General Practice Dentistry in Cut Off, LA
• Providers in Cut Off, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.