Anna Shabtai, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047405 Issued in NY

Practice address

407 E Jericho Tpke
Carle Place Dental PC
Carle Place, NY 11514-1027

Phone

(516) 747-8150

Fax

(516) 747-8152

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Carle Place Dental, P.C.

  • Dentist
  • Carle Place, NY
  • NPI 1255688974
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1962611467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E JERICHO TPKE",
            "address_2": "CARLE PLACE DENTAL PC",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141027",
            "telephone_number": "516-747-8150",
            "fax_number": "516-747-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E JERICHO TPKE",
            "address_2": "CARLE PLACE DENTAL PC",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141027",
            "telephone_number": "516-747-8150",
            "fax_number": "516-747-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABTAI",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01812591",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucia Scarascia, MD
• Nicole Marie Scicolone
• Francesco G Scoleri, RPH
• Dillon Sedaghatpour, MD
• Senior Life Management, P.L.L.C.
• Steven S Shayani, MD
• Alexandra Shelon, RPH
• Lisa B Smith, PSY.D.
• Soundview Psychotherapy LCSW, PLLC
• Ira Steven Springer, AUD.

• General Practice Dentistry in Carle Place, NY
• Providers in Carle 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 Jan 7, 2014; 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.