NPIMap

Organization Active NPI

Bilal Shammout DDS Inc

  • Endodontics
  • Lancaster, CA
National Provider Identifier
1083188254
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
BILAL SHAMMOUT DDS INC
Practice address
44215 15TH St W Ste 313
Lancaster, CA 93534-5505
Phone
(661) 948-2721
Fax
(661) 948-4055
NPI assigned
Jan 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Bilal Shammout, DDSNPI 1497968333
Title
President
Phone
(386) 405-3934

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

44215 15TH St W Ste 313
Lancaster, CA 93534-5505

Mailing address

44215 15TH St W Ste 313
Lancaster, CA 93534-5505
Phone (661) 948-2721

National Provider Directory

National Provider Directory

Locations

44215 15th St W
Ste 313
Lancaster, CA 93534
Phone (661) 948-2721

Practitioners & affiliated clinicians

Practitioners 3

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": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1083188254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W STE 313",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345505",
            "telephone_number": "661-948-2721",
            "fax_number": "661-948-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W STE 313",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345505",
            "telephone_number": "661-948-2721",
            "fax_number": "661-948-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILAL SHAMMOUT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "SHAMMOUT",
        "authorized_official_first_name": "BILAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-405-3934",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.