Shahin Afroz Sultana, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30713 Issued in TX

Practice address

9203 Skillman St
Ste# 126
Dallas, TX 75243-9032

Phone

(214) 367-6213

Fax

(214) 367-6217

NPI assigned

May 6, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shahin Sultana Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• BL Dental & Orthodontics PLLC

  • General Practice Dentistry
  • Plano, TX
  • NPI 1568945269
  Medicare reassignment NPD

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1205154838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9203 SKILLMAN ST,",
            "address_2": "STE#126",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-367-6213",
            "fax_number": "214-367-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9203 SKILLMAN ST",
            "address_2": "STE# 126",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439032",
            "telephone_number": "214-367-6213",
            "fax_number": "214-367-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANA",
        "first_name": "SHAHIN",
        "middle_name": "AFROZ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6329",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHIN",
            "last_name": "SULTANA",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Sullivan, LMSW
• Paul Jeffrey Sullivan, MD
• Sharel Sullivan
• Shelley Lynn Sullivan, LPC
• Sierra Gabriella Sullivan, RN
• Jeffrey Sum
• Nichole Sum
• Yikman Sum
• Suma Gudur MD PA
• Shahina Suman, M.D.

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.