Active NPI
Shaila A Kabani, DDS
- Dentist
- Duluth, GA
National Provider Identifier
1053541482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013938
- Practice address
- 20214 Sugarloaf Reserve Dr
Duluth, GA 30097-5216 - Phone
- (678) 343-5955
- NPI assigned
- Jul 20, 2009
- Last updated
- Jun 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN013938 | GA | Primary |
Addresses
Primary practice location
20214 Sugarloaf Reserve Dr
Duluth, GA 30097-5216
Mailing address
3870 Peachtree Industrial Blvd
#220
Duluth, GA 30096-1422
Phone (770) 476-9004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151104000675 | GA | Order and Referring Only - Oral Surgery | 9234449281 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013938 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1053541482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3870 PEACHTREE INDUSTRIAL BLVD",
"address_2": "#220",
"city": "DULUTH",
"state": "GA",
"postal_code": "300961422",
"telephone_number": "770-476-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20214 SUGARLOAF RESERVE DR",
"city": "DULUTH",
"state": "GA",
"postal_code": "300975216",
"telephone_number": "678-343-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABANI",
"first_name": "SHAILA",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
- Michael E Justice, O.D.
- Jwoo LLC
- Jyp&G Services LLC (Maum Homecare Services)
- K & C Caring Hearts , LLC.
- K.M. Noonan, PH.D., LLC
- Dilshad Kachra
- Kaia Rehab & Wellness LLC
- Kaiser Foundation Health Plan of Georgia Inc (Kaiser Permanente Gwinnett Clinic Pharmacy)
- Kaiser Foundation Health Plan of Georgia Inc.
- Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente Gwinnett)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.