Mohammed Shakarchi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016.0134191 Issued in VT

Practice address

69 Allen St Ste 10
Rutland, VT 05701-4564

Phone

(802) 774-5050

NPI assigned

Jun 1, 2023

Sex

Male

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 VT

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

Locations

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.

• Community Health Centers of the Rutland Region, Inc.

  • Dentist
  • Rutland, VT
  • NPI 1437364759

  VT

  Medicare reassignment NPD
• Community Health Centers of the Rutland Region Inc

  • Federally Qualified Health Center (FQHC)
  • Rutland, VT
  • NPI 1518613215
  NPD

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1023701281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST STE 10",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST STE 10",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564",
            "telephone_number": "802-774-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKARCHI",
        "first_name": "MOHAMMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0134191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saumya M Seidler, M.D.
• Laurie Senecal
• Seth G. Coombs, MD, PC
• Alan Henry Seward
• Paul M Sgalia, LICSW
• Stanley M Shapiro, M.D.
• Sheila Sharrow, LICSW
• Theodore G Shattuck, M.D.
• Alyssa Nicole Shaw, B.S.
• Emily Elizabeth Shea

• General Practice Dentistry in Rutland, VT
• Providers in Rutland, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.