Individual provider Active NPI

Dalia H Shubber, DDS

  • General Practice Dentistry
  • Shelton, CT
National Provider Identifier
1144484775
Registry record updated Jul 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8822 Issued in CT
Practice address
1 Trap Falls Rd Ste 401
Shelton, CT 06484-4698
Phone
(203) 944-9800
Fax
(203) 944-9952
NPI assigned
Jul 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2008

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 8822 CT Primary

Addresses

Primary practice location

1 Trap Falls Rd Ste 401
Shelton, CT 06484-4698

Mailing address

1 Trap Falls Rd Ste 401
Shelton, CT 06484-4698
Phone (203) 944-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160107000267 CT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608178744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8822CTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215907200000",
    "number": "1144484775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRAP FALLS RD STE 401",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844698",
            "telephone_number": "203-944-9800",
            "fax_number": "203-944-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRAP FALLS RD STE 401",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844698",
            "telephone_number": "203-944-9800",
            "fax_number": "203-944-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUBBER",
        "first_name": "DALIA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2008-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.