Organization Active NPI

Amna Shebani, D.D.S., P.C.

  • Pediatric Dentistry
  • Vancouver, WA
National Provider Identifier
1043563661
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
AMNA SHEBANI, D.D.S., P.C.
Practice address
1405 S.E. 164TH Avenue
Suite # 203
Vancouver, WA 98683
Phone
(360) 260-0505
Fax
(360) 260-0511
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Amna Shebani, DDSNPI 1164588778
Title
Pediatric Dentist
Phone
(360) 260-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1405 S.E. 164TH Avenue
Suite # 203
Vancouver, WA 98683

Mailing address

1405 S.E. 164TH Avenue
Suite # 203
Vancouver, WA 98683
Phone (360) 260-0505

Other names 1

  • Dentistry for Children Doing business as

National Provider Directory

National Provider Directory

Locations

1405 SE 164th Ave
Ste 203
Vancouver, WA 98683
Phone (360) 260-0505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1043563661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S.E. 164TH AVENUE",
            "address_2": "SUITE # 203",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "360-260-0505",
            "fax_number": "360-260-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S.E. 164TH AVENUE",
            "address_2": "SUITE # 203",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "360-260-0505",
            "fax_number": "360-260-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMNA SHEBANI, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "SHEBANI",
        "authorized_official_first_name": "AMNA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "360-260-0505",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.