Shirin Amirfaiz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9715 Issued in TN

Practice address

1401 Volunteer Pkwy
Bristol, TN 37620-6051

Phone

(423) 217-6300

NPI assigned

Jul 15, 2013

Last updated

Nov 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• MS PPO C-SNP
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• MS PPO D-SNP

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

• Christopher Carle, DDS, PC

  • General Practice Dentistry
  • Bristol, TN
  • NPI 1225392855
  NPD (past)

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1013358316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14923 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 VOLUNTEER PKWY",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376206051",
            "telephone_number": "423-217-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRFAIZ",
        "first_name": "SHIRIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allied Rehab Services (Allied Rehab)
• Allied Rehabilitation Equipment, Inc. (Allied Rehab Services)
• Benjamin Altman, MD
• Jeffrey Stephen Alvis, MD
• Ambulance Service of Bristol Inc
• Anchor Health & Wellness PLLC
• Anderson Compounding Pharmacy Inc (Anderson Compounding Pharmacy)
• Alexander Keith Anderson, FNP
• Jessica Dawn Anderson, CPNP-PC
• Roy C Anderson II, DPH

• General Practice Dentistry in Bristol, TN
• Providers in Bristol, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.