DR. KE SHANG (NPI# 1053710673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053710673 |
| Entity Type | Individual |
| Full Name | DR. KE SHANG |
| Credential | DMD |
| Practice Address |
2109 S Clinton Ave Ste 200 Rochester NY 14618-2615 |
| Practice Telephone | 5857565566 |
| Mailing Telephone | 5857565566 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
059640 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 625 Elmwood Ave, Rochester, NY 146202913 | 5852755087 | 5852731235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992121685 | Ke Shang | Registered Nurse | 717 56th St, Agi Medical Pllc., Brooklyn, NY 11220-3503 | 2014-03-05 |
| Street Address |
2109 S CLINTON AVE STE 200 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740814813 | Roxanne Lowenguth Dds,ms,pllc | Clinic/Center | 2109 S Clinton Ave Ste 200, Rochester, NY 14618-2615 | 2020-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073929261 | Filip Ambrosio | Dentist | 2300 Buffalo Rd Bldg 400a, Rochester, NY 14624-1366 | 2014-07-08 |
| 1053510776 | Cristina Gabriela Ciornei | Dentist | 225 Parkwood Ave, Rochester, NY 14620-3405 | 2007-07-12 |
| 1871636365 | Edward David Appelbaum | Dentist | 45 Allens Creek Rd, Rochester, NY 14618-3227 | 2007-02-14 |
| 1538240254 | Paul David Hoffman | Dentist | 900 Westfall Rd Ste B, Rochester, NY 14618-2635 | 2006-10-18 |
| 1801984901 | Modern Periodontics, PC | Dentist | 1680 Monroe Ave, Suite A, Rochester, NY 14618-1417 | 2006-10-11 |
| 1487754305 | Caton, Blieden & Romano Dds, PC | Dentist | 2081 W. Ridge Rd, Rochester, NY 14626 | 2006-09-22 |
| 1265541858 | Jack Caton | Dentist | 2081 Ridge Rd W, Rochester, NY 14626-2724 | 2006-08-29 |
| 1174189088 | Elli Anna Kotsailidi | Dentist | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2019-05-15 |
| 1396278503 | Seong Woo Lee | Dentist | 2112 Viking Dr Nw, Rochester, MN 55901-3522 | 2017-04-05 |
| 1457891160 | Alexandra Tsigarida | Dentist | 625 Elmwood Ave, Box 683, Rochester, NY 14620-2913 | 2017-02-28 |
| Find all providers in ROCHESTER | ||||
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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.