Ahmed Kareem Shujairi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10533 Issued in SC

Practice address

3570 Toringdon Way Apt 1019
Charlotte, NC 28277-4896

Phone

(201) 562-9994

NPI assigned

May 18, 2023

Last updated

Jul 31, 2024By the provider in NPPES

Sex

Male

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 SC

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

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1154012128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 TORINGDON WAY APT 1019",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774896",
            "telephone_number": "201-562-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 TORINGDON WAY APT 1019",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774896",
            "telephone_number": "201-562-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUJAIRI",
        "first_name": "AHMED",
        "middle_name": "KAREEM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "10533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Desiree Shufelt
• Alfred Bernard Shuford, M.ED,LAT,ATC
• Amanda Shugart
• Richard Alan Shugoll, MD
• Laura Shuhart, PA-C
• Karan Prabodh Shukla, M.D.
• Manoj Kumar Shukla, APRN
• Debra Bailey Shuler, LPC
• Melissa Shuler
• Andrew Robert Shulstad, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.