Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KOOROSH SHAMTOUB DDS
NPI 1205819919
Dentist - General Practice in Brooklyn, NY

Q: What is Koorosh Shamtoub's NPI number?

The NPI number for Koorosh Shamtoub is 1205819919. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Q: What is Koorosh Shamtoub's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Koorosh Shamtoub was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 28, 2005

9413 FLATLANDS AVE, STE 102W, BROOKLYN, NY 11236(718) 257-0300(718) 257-0670 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Koorosh Shamtoub Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KOOROSH SHAMTOUB DDS (NPI 1205819919) is an individual general practice provider in Brooklyn, New York, licensed in New York (051063) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1205819919

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KOOROSH SHAMTOUBCredential: DDS

Location Address9413 FLATLANDS AVE, STE 102WBrooklyn, NY 11236-3707

Mailing Address1350 Ocean Pkwy, #4jBrooklyn, NY 11230-5659 · (718) 375-1731

Phone(718) 257-0300

Fax(718) 257-0670

Sole ProprietorNo

Enumeration DateNovember 28, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1205819919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 051063

Definition

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.

9413 FLATLANDS AVE, Brooklyn, NY 11236

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Other Identifiers 1

Medicaid02496220NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIR MONER UDDIN DPM

Podiatrist (Foot & Ankle Surgery)

9413 FLATLANDS AVE
BROOKLYN, NY 11236

Kings County (917) 889-5151

NEW YORK MEDICAL PRACTICE, PC

Clinic/Center (Ambulatory Surgical)

9413 FLATLANDS AVE
BROOKLYN, NY 11236

Kings County (646) 355-4450

STEVEN M. WEISSMAN, MD PLLC

Dermatology

9413 FLATLANDS AVE, SUITE 102 EAST
BROOKLYN, NY 11236

Kings County (718) 853-7546

DR. STEVEN M WEISSMAN MD

Dermatology

9413 FLATLANDS AVE, STE 102 EAST
BROOKLYN, NY 11236

Kings County (718) 853-7546

MRS. MELBA LISSETTE MONTES N.P.

Nurse Practitioner (Adult Health)

9413 FLATLANDS AVE
BROOKLYN, NY 11236

Kings County (718) 257-6615

CAROLYN LORDE

Case Manager/Care Coordinator

9413 FLATLANDS AVE
BROOKLYN, NY 11236

Kings County (718) 272-1600

WOMENS MEDICAL SERVICES OF NEW YORK PC

Legal Medicine

9413 FLATLANDS AVE, SUITE 206
BROOKLYN, NY 11236

Kings County (718) 485-2420

MAXINE VEECOCK

Case Manager/Care Coordinator

9413 FLATLANDS AVE
BROOKLYN, NY 11236

Kings County (718) 272-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koorosh Shamtoub's NPI number?

The NPI number for Koorosh Shamtoub is 1205819919. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Koorosh Shamtoub located?

Koorosh Shamtoub practices at 9413 Flatlands Ave Ste 102W, Brooklyn, NY 11236. The listed phone number is (718) 257-0300.

What is Koorosh Shamtoub's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Koorosh Shamtoub accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Koorosh Shamtoub as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Koorosh Shamtoub was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.