Active NPI
Amna Shebani, D.D.S.
- Pediatric Dentistry
- Vancouver, WA
National Provider Identifier
1164588778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE8593
- Practice address
- 1405 SE 164TH Ave
Suite# 203
Vancouver, WA 98683-9644 - Phone
- (360) 260-0505
- Fax
- (360) 260-0511
- NPI assigned
- Dec 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE8593 | WA | Primary |
| Pediatric Dentistry | 1223P0221X | D7675 | OR |
Addresses
Primary practice location
1405 SE 164TH Ave
Suite# 203
Vancouver, WA 98683-9644
Mailing address
1405 SE 164TH Ave
Suite# 203
Vancouver, WA 98683-9644
Phone (360) 260-0505
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 |
|---|---|---|---|
| D7675 | OR | MD | Pediatric Dentist |
| DE8593 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amna Shebani, D.D.S., P.C. | Pediatric Dentistry | Past | Accepting new patients |
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.
-
- Pediatric Dentistry
- Vancouver, WA
- NPI 1043563661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164588778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 SE 164TH AVE",
"address_2": "SUITE# 203",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839644",
"telephone_number": "360-260-0505",
"fax_number": "360-260-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 SE 164TH AVE",
"address_2": "SUITE# 203",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839644",
"telephone_number": "360-260-0505",
"fax_number": "360-260-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEBANI",
"first_name": "AMNA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE8593",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OR",
"license": "D7675",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, 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.