Active NPI
Shakeel Ahmed, D.M.D.
- Periodontics
- Brooklyn, NY
National Provider Identifier
1174600712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 051635
- Practice address
- 8405 Bay Pkwy
Brooklyn, NY 11214-3359 - Phone
- (718) 331-6100
- Fax
- (718) 331-1723
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 051635 | NY | Primary |
Addresses
Primary practice location
8405 Bay Pkwy
Brooklyn, NY 11214-3359
Mailing address
8405 Bay Pkwy
Brooklyn, NY 11214-3359
Phone (718) 331-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02745297 | Medicaid | NY |
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 |
|---|---|---|---|
| 051635 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Culture Dental PC | Past | Accepting new patients | |
| Infinity Dental Management LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Langhorne, PA
- NPI 1629321195
-
- Dentist
- Fairless Hills, PA
- NPI 1144698028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174600712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8405 BAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112143359",
"telephone_number": "718-331-6100",
"fax_number": "718-331-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 BAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112143359",
"telephone_number": "718-331-6100",
"fax_number": "718-331-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "SHAKEEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "051635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02745297",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
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.