DR. KOOROSH SHAMTOUB (NPI# 1205819919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205819919 |
| Entity Type | Individual |
| Full Name | DR. KOOROSH SHAMTOUB |
| Credential | DDS |
| Practice Address |
9413 Flatlands Ave Ste 102w Brooklyn NY 11236-3707 |
| Mailing Address |
1350 Ocean Pkwy #4j Brooklyn NY 11230-5659 |
| Practice Telephone | 7182570300 |
| Practice Fax Number | 7182570670 |
| Mailing Telephone | 7183751731 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
051063 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02496220 | 05 |
| Street Address |
9413 FLATLANDS AVE STE 102W |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11236-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215421052 | Sabrina Jean Baptiste | Counselor | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2018-06-15 |
| 1609381102 | Levi Rapoport | Counselor | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2017-12-06 |
| 1487174504 | Shamaine Andrea Francis | Social Worker | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2017-06-20 |
| 1043769300 | New York Medical Practice, PC | Clinic/Center | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2016-09-28 |
| 1962856401 | Rosell Billingy | Social Worker | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2016-04-21 |
| 1417318205 | Tricha Menelas | Social Worker | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2016-03-08 |
| 1699145334 | James Ervin Young | Nurse Practitioner | 9413 Flatlands Ave, Suite 101w, Brooklyn, NY 11236-3726 | 2015-10-06 |
| 1821474255 | Care Physical Therapy, P.c | Physical Therapist | 9413 Flatlands Ave, Suite 1w, Brooklyn, NY 11236-3726 | 2015-08-07 |
| 1619378791 | University Physicians of Brooklyn, Inc. | Orthopaedic Surgery | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2014-09-09 |
| 1245672278 | Joann Michelle Makatura | Massage Therapist | 9413 Flatlands Ave, Suite 001w, Brooklyn, NY 11236-3726 | 2013-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
| 1659996080 | Elina Fils Aime | Licensed Practical Nurse | 8 Parter Gate 15, Brooklyn, NY 11236 | 2020-06-11 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1114559309 | Jonathan Eisen Dc, PC | Chiropractor | 9207 Flatlands Ave, Brooklyn, NY 11236 | 2020-02-06 |
| 1508497462 | New Direction Supportive Services | Clinic/Center | 1123 East 100th Street, Brooklyn, NY 11236 | 2020-01-30 |
| 1073151544 | Belinda Clesidor | Registered Nurse | 1200 E 5519 St, Brooklyn, NY 11236 | 2019-12-16 |
| 1154898880 | Shanice A Mcghie | Licensed Practical Nurse | 718 East 84th Street, Brooklyn, NY 11236 | 2018-10-31 |
| 1891286241 | Casandra Christine Gibbs | Licensed Practical Nurse | 1380 East 84th Stree, 2 Fl, Brooklyn, NY 11236 | 2018-05-22 |
| 1942707161 | Suzette Rebecca Ryan | Registered Nurse | 1009 E 86th Street, 3rd Floor, Brooklyn, NY 11236 | 2018-04-13 |
| 1275045395 | Danica Noel-sylvester | Nurse Practitioner | 6565 Flatlands Ave Rm C-150, Brooklyn, NY 11236 | 2017-10-30 |
| Find all providers in zip 11236 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960819 | Marijana Skok | Dentist | 155 N 7th St 2nd Floor, Brooklyn, NY 11249 | 2020-04-14 |
| 1558909655 | Moonlight Smile Dental PC | Dentist | 3064 Coney Island Ave Ste 1a, Brooklyn, NY 11235-6475 | 2019-12-19 |
| 1336795897 | Mark D. Debock Dds | Dentist | 7500 4th Ave Ste A1, Brooklyn, NY 11209-3209 | 2019-08-12 |
| 1891357281 | David Barton | Dentist | 374 Stanhope St, Brooklyn, NY 11237-4434 | 2019-07-05 |
| 1144889924 | Healthy Smiles Pediatric Dentistry Pllc | Dentist | 540 East New York Avenue, Brooklyn, NY 11225 | 2019-06-06 |
| 1225693724 | Mk Smile Dental PC | Dentist | 2860 Ocean Ave Apt A1, Brooklyn, NY 11235-3111 | 2019-05-09 |
| 1265095335 | Malayev Dental P.C. | Dentist | 502 39th St Apt 2f, Brooklyn, NY 11232-3025 | 2019-04-15 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1124595517 | Maria Jezrell Santos | Dentist | 1641 Ryder St, Brooklyn, NY 11234-4306 | 2018-10-24 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.