Active NPI
Shamsi Bhanji, DDS, MSD
- Pediatric Dentistry
- Seattle, WA
National Provider Identifier
1114049541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 9122
- Practice address
- 11011 Meridian Ave N
Suite 308
Seattle, WA 98133-8967 - Phone
- (206) 523-9618
- Fax
- (206) 523-9518
- NPI assigned
- Apr 5, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 9122 | WA | Primary |
Addresses
Primary practice location
11011 Meridian Ave N
Suite 308
Seattle, WA 98133-8967
Mailing address
11011 Meridian Ave N
Suite 308
Seattle, WA 98133-8967
Phone (206) 523-9618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598677 | Other | WA | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9122 | WA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114049541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11011 MERIDIAN AVE N",
"address_2": "SUITE 308",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338967",
"telephone_number": "206-523-9618",
"fax_number": "206-523-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11011 MERIDIAN AVE N",
"address_2": "SUITE 308",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338967",
"telephone_number": "206-523-9618",
"fax_number": "206-523-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHANJI",
"first_name": "SHAMSI",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "9122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1598677",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.