Individual provider Active NPI

Shahnaz Saber, DDS PA

  • General Practice Dentistry
  • Catonsville, MD
National Provider Identifier
1003952706
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12112 Issued in MD
Practice address
4 West Rolling Crossroads
Suite 5
Catonsville, MD 21228-6278
Phone
(410) 747-0341
Fax
(410) 747-2437
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12112 MD Primary

Addresses

Primary practice location

4 West Rolling Crossroads
Suite 5
Catonsville, MD 21228-6278

Mailing address

4 West Rolling Crossroads
Suite 5
Catonsville, MD 21228-6278
Phone (410) 747-0341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12112MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shahnaz Saber, DDS PA Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1003952706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WEST ROLLING CROSSROADS",
            "address_2": "SUITE 5",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286278",
            "telephone_number": "410-747-0341",
            "fax_number": "410-747-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEST ROLLING CROSSROADS",
            "address_2": "SUITE 5",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286278",
            "telephone_number": "410-747-0341",
            "fax_number": "410-747-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABER",
        "first_name": "SHAHNAZ",
        "name_prefix": "Dr.",
        "credential": "DDS PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.