Shamik Mahendra Shastri, DDS, MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30655 Issued in TX

Practice address

3844 Lamar Ave
Paris, TX 75462-5205

Phone

(903) 913-6864

NPI assigned

Jul 22, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• TX HMO D-SNP
• NM HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Corporation of Amardeep Gill DDS

  • General Practice Dentistry
  • West Sacramento, CA
  • NPI 1184874026
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1003224056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 VISTA COURT DR APT 2122",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748393",
            "telephone_number": "916-533-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754625205",
            "telephone_number": "903-913-6864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 Jefferson Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "West Sacramento",
            "state": "CA",
            "postal_code": "956915328",
            "country_code": "US",
            "telephone_number": "916-372-8062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5851 Long Prairie Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750285636",
            "country_code": "US",
            "telephone_number": "972-539-7252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHASTRI",
        "first_name": "SHAMIK",
        "middle_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63664",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne D Scott, DDS
• Senior Management Services of Paris Inc
• Sequoia Brown
• Khalid Shafiq, MD, FACC, FSCAI
• Samir Shah
• Patricia Kay Short, FNP-BC
• Omer Mustafa Siddiqui, MBBS
• Signature Home Dialysis LLC
• Kristy Kay Siler, LPC
• Silver Crest Hospice LLC

• General Practice Dentistry in Paris, TX
• Providers in Paris, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.