Individual provider Active NPI

Saliha Munir Shahzad, DDS

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1225196843
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011818 Issued in GA
Practice address
4805 Briarcliff Rd NE Ste 104
Atlanta, GA 30345-2737
Phone
(770) 414-9282
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 011818 GA
General Practice Dentistry 1223G0001X DN011818 GA Primary

Addresses

Primary practice location

4805 Briarcliff Rd NE Ste 104
Atlanta, GA 30345-2737

Mailing address

4805 Briarcliff Rd NE Ste 104
Atlanta, GA 30345-2737
Phone (770) 414-9282

Other identifiers 1

IdentifierTypeStateIssuer
00906111AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160115000305 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799088373
I20190624003062 FL Order and Referring Only - DentistPractitioner - Dentist 5799088373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011818GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1225196843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 BRIARCLIFF RD NE STE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452737",
            "telephone_number": "770-414-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 BRIARCLIFF RD NE STE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452737",
            "telephone_number": "770-414-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHZAD",
        "first_name": "SALIHA",
        "middle_name": "MUNIR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011818",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00906111A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.