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DERRICK SHAOULPOUR DDS
NPI 1508132515
Dentist - General Practice in New York, NY

Active since March 25, 2012
347 5TH AVE, 1300, NEW YORK, NY 10016(212) 529-5432 Get Directions Write a Review

NPPES record last updated: March 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Shaoulpour Dds NPPES

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

DERRICK SHAOULPOUR DDS (NPI 1508132515) is an individual general practice provider in New York, New York, licensed in New York (055597) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1508132515
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDERRICK SHAOULPOURCredential: DDS
Location Address347 5TH AVE, 1300New York, NY 10016-5010
Mailing Address347 5th Ave, 1300New York, NY 10016-5010 · (212) 529-5432
Phone(212) 529-5432
Sole ProprietorNo
Enumeration DateMarch 25, 2012
✔ NPI 1508132515 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 · 055597
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.
347 5TH AVE, New York, NY 10016
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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.

DR. PAMELA ANN LECK PH.D.
Psychologist (Clinical)
347 5TH AVE, SUITE 600
NEW YORK, NY 10016
New York County (917) 385-2341
MRS. MICHAL HERTZ MA, RD
Dietitian, Registered
347 5TH AVE, SUITE 800
NEW YORK, NY 10016
New York County (212) 510-7651
DR. SUSAN MICHELLE RAND DDS
Dentist
347 5TH AVE, SUITE 1101
NEW YORK, NY 10016
New York County (212) 358-7500
MR. DARCY PAUL BECKER LCSW
Social Worker (Clinical)
347 5TH AVE, SUITE 700
NEW YORK, NY 10016
New York County (212) 946-5549
DR. STEVE MENNA DPM
Podiatrist (Foot & Ankle Surgery)
347 5TH AVE, #1110
NEW YORK, NY 10016
New York County (212) 629-5090
PENG PANG M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
347 5TH AVE
NEW YORK, NY 10016
New York County (718) 715-6309
JERRY S. KATZ LCSW
Social Worker (Clinical)
347 5TH AVE, RM.1401
NEW YORK, NY 10016
New York County (917) 359-5375
DR. ADERONKE AYODELE OGUNTOYE MD
Psychiatry & Neurology (Psychiatry)
347 5TH AVE
NEW YORK, NY 10016
New York County (646) 461-3611

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 Derrick Shaoulpour's NPI number?

The NPI number for Derrick Shaoulpour is 1508132515. It was assigned to this individual provider in the NPPES registry on March 25, 2012.

Where is Derrick Shaoulpour located?

Derrick Shaoulpour practices at 347 5th Ave 1300, New York, NY 10016. The listed phone number is (212) 529-5432.

What is Derrick Shaoulpour's specialty?

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

When was this NPI record last updated?

The NPPES record for Derrick Shaoulpour was last updated on March 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.