Shubha Soni-Gaur, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

055502 Issued in NY

Practice address

860 E Jericho Tpke
Dix Hills, NY 11746-7505

Phone

(631) 673-8040

NPI assigned

Feb 25, 2010

Sex

Female

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: ssonigaur551031@nyumc.direct-ci.com

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1942522487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E JERICHO TPKE",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467505",
            "telephone_number": "631-673-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E JERICHO TPKE",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467505",
            "telephone_number": "631-673-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI-GAUR",
        "first_name": "SHUBHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "055502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Anne Smith, PTA
• SMR Medical Transport
• Softpros Inc
• Solano Diagnostics Partners, Al Calif. Limited Partnership
• Ilene Caren Solomon McKillop, OTR/L
• Lloyd Ramraj Sookhu, MD
• Lourdes Soto
• Laurie Souhrada
• Kendra St Charles Pierre
• Heather Stampfl

• Pediatric Dentistry in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.