Mustafa Albu-Shamah, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10985 Issued in NC

Practice address

2685 Celanese Rd Ste 116
Rock Hill, SC 29732-2993

Phone

(803) 970-6080

NPI assigned

Jun 4, 2018

Last updated

Oct 10, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Emergency Dental LLC

  • Dental Clinic/Center
  • Rock Hill, SC
  • NPI 1407593288
  NPD Authorized official
• Jay J. Coyle DDS & Associates PA

  • Dentist
  • Charlotte, NC
  • NPI 1245452333
  NPD (past)
• William Summerville DDS PLLC

  dba Distinctive Dentistry of Charlotte

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1386681625
  NPD (past)

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1184116378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 JAMES BAY CT",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 CELANESE RD STE 116",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322993",
            "telephone_number": "803-970-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 N Wendover Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111064",
            "country_code": "US",
            "telephone_number": "704-540-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBU-SHAMAH",
        "first_name": "MUSTAFA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10985",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "10110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ah Cares
• Kehinde Toyin Ajayi, DDS
• Chika Agnes Akamnonu, DDS
• Michelle Bianca Albanese, M.S. CCC-SLP
• Angela Albero, PA-C
• Mary Angela Aldrich, LISW-CP, LCSW
• Rae Ann Alepa, MS SPEC
• Michael Richard Alexander, MD
• Robert Alexander, MD
• Levenia Alexis, MS, CACP

• Dentist in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.