Anahita Shaya, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10286 Issued in NC

Practice address

803 S Walker St
Burgaw, NC 28425-5001

Phone

(910) 259-0615

NPI assigned

Jul 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Carolina University

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919
  Medicare reassignment NPD
• East Carolina University

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1043260474
  NPD
• East Carolina University

  • General Practice Dentistry
  • Greenville, NC
  • NPI 1689815284
  NPD

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1124401617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S WALKER ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255001",
            "telephone_number": "910-259-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S WALKER ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255001",
            "telephone_number": "910-259-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYA",
        "first_name": "ANAHITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Savard, MS, CCC-SLP
• Mary Trull Schaeffer, LCSW
• Traci L Schaubert, LPTA
• Susan Marie Schirick, MED
• Marcilla Scott, LCSWA, LCASA
• Laura Shenkman, FNP-C
• Christina Nicole Simpson
• Brajendra P Singh, MD
• Nyssa Adaya Small, MSW, LCSWA
• Randolph Fletcher Spainhour, RPH

• Dentist in Burgaw, NC
• Providers in Burgaw, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.

Verify at the official NPI Registry.