Sepideh Shaffer, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

056409-1 Issued in NY

Practice address

31 Merrick Ave Ste 220
Merrick, NY 11566

Phone

(516) 344-5353

NPI assigned

Jun 28, 2011

Sex

Female

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.

• John E Lagner DMD PC

  • Dentist
  • East Northport, NY
  • NPI 1467138503
  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1962798009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MERRICK AVE STE 220",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MERRICK AVE STE 220",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "11566",
            "telephone_number": "516-344-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "GPR Program, Dental Care Center",
            "address_2": "Sullivan Hall, SUNY at Stony Brook",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117948700",
            "country_code": "US",
            "telephone_number": "631-632-9245",
            "fax_number": "631-632-9701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "554 Larkfield Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "East Northport",
            "state": "NY",
            "postal_code": "117314205",
            "country_code": "US",
            "telephone_number": "631-266-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "SEPIDEH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056409-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur I. Sekuler, D.D.S.
• Amanda L Selman
• Erin Elizabeth Sena, LPN
• Anastasia Sfiroudis, LMSW
• Michael J Shaffer, D.D.S.
• Roberta Emily Shamitz, LCSW
• Shawn a Sosnik, DC, PC
• Kelly Shea
• Bridget Elizabeth Sheerin, M.S.
• Marla S Sheflin, D.O.

• Dentist in Merrick, NY
• Providers in Merrick, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.