Individual provider Active NPI

Shahriar Shahami, DDS

  • Endodontics
  • Fort Myers, FL
National Provider Identifier
1144892720
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN32059 Issued in FL
Practice address
6323 Corporate CT Ste a
Fort Myers, FL 33919-3518
Phone
(301) 272-4937
Fax
(239) 482-8531
NPI assigned
Jul 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN32059 FL Primary

Addresses

Primary practice location

6323 Corporate CT Ste a
Fort Myers, FL 33919-3518

Mailing address

6323 Corporate CT Ste a
Fort Myers, FL 33919-3518
Phone (239) 482-5311

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

LicenseStateTypeSpecialty
17505MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Azad Dental Group Endodontics CurrentSince Jul 25, 2021 Accepting new patients

Locations

1020 Mill Pond Rd
Ste H
Frederick, MD 21701
Phone (301) 845-5400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1144892720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 CORPORATE CT STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193518",
            "telephone_number": "239-482-5311",
            "fax_number": "239-482-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 CORPORATE CT STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193518",
            "telephone_number": "301-272-4937",
            "fax_number": "239-482-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHAMI",
        "first_name": "SHAHRIAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN32059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.