Active NPI
David Sharnoff, D.P.M.
- Podiatrist
- Shelton, CT
National Provider Identifier
1972502326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000184
- Practice address
- 9 Cots St
Shelton, CT 06484-3866 - Phone
- (203) 924-4747
- Fax
- (203) 924-2495
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000184 | CT | Primary |
Addresses
Primary practice location
9 Cots St
Shelton, CT 06484-3866
Mailing address
9 Cots St
Shelton, CT 06484-3866
Phone (203) 924-4747
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030000184CT01 | Other | BCBS | |
| 41608 | Other | CT | US HEALTH CARE |
| 5020099002 | Other | CIGNA | |
| P391894 | Other | OXFORD | |
| 000960 | Other | CT | PHS |
| 004006565 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000184 | CT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of CT,P.C. | Past | Accepting new patients |
Interoperability endpoints
- david.sharnoff@faasoc-ct.direct.office.nextgen.com
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.
-
- Foot & Ankle Surgery Podiatrist
- Shelton, CT
- NPI 1962802983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1972502326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 COTS ST",
"city": "SHELTON",
"state": "CT",
"postal_code": "064843866",
"telephone_number": "203-924-4747",
"fax_number": "203-924-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 COTS ST",
"city": "SHELTON",
"state": "CT",
"postal_code": "064843866",
"telephone_number": "203-924-4747",
"fax_number": "203-924-2495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARNOFF",
"first_name": "DAVID",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CT",
"license": "000184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "030000184CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTH CARE",
"identifier": "41608",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5020099002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P391894",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "000960",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004006565",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.