Individual provider Active NPI

Masha Shturman, DDS

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1093035206
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25423 Issued in TX
Practice address
5105 Eldorado Pkwy Ste 150
Frisco, TX 75034-8676
Phone
(214) 387-0745
NPI assigned
Jun 10, 2010
Last updated
Nov 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25423 TX Primary

Addresses

Primary practice location

5105 Eldorado Pkwy Ste 150
Frisco, TX 75034-8676

Mailing address

5105 Eldorado Pkwy Ste 150
Frisco, TX 75034-8676
Phone (214) 387-0745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160406000200 TX Order and Referring Only - DentistPractitioner - Dentist 4082912100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eldorado Smiles and Orthodontics,PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1093035206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 ELDORADO PKWY STE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348676",
            "telephone_number": "214-387-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 ELDORADO PKWY STE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348676",
            "telephone_number": "214-387-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTURMAN",
        "first_name": "MASHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.