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1164603197 NPI number — ADAM DAVID SHATZ D.D.S.

NPI Number: 1164603197
Health Care Provider/Practitioner: ADAM DAVID SHATZ D.D.S.

Information about “1164603197” NPI (ADAM DAVID SHATZ D.D.S.) exists in 1164603197 in HTML format HTML  |  1164603197 in plain Text format TXT  |  1164603197 in PDF (Portable Document Format) PDF  |  1164603197 in an XML format XML  formats.

NPI Number : 1164603197 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164603197",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHATZ",
    "FirstName": "ADAM",
    "MiddleName": "DAVID",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHATZ",
    "OtherFirstName": "ADAM",
    "OtherMiddleName": "DAVID",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.D.S.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3471 LONG BEACH RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCEANSIDE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11572-5424",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-536-5800",
    "MailingAddressFaxNumber": "516-208-7447",
    "FirstLinePracticeLocationAddress": "3471 LONG BEACH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCEANSIDE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11572-5424",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-536-5800",
    "PracticeLocationAddressFaxNumber": "516-536-3578",
    "EnumerationDate": "11/19/2007",
    "LastUpdateDate": "10/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "DN124016",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "11218",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "047087",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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