Sardar Murtuza Shah-Khan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10128 Issued in NC

Practice address

5970 Fairview Rd
Ste 120
Charlotte, NC 28210-3167

Phone

(704) 523-1462

Fax

(704) 525-9076

NPI assigned

Jun 28, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1225410079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 FAIRVIEW RD",
            "address_2": "STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103167",
            "telephone_number": "704-523-1462",
            "fax_number": "704-525-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 FAIRVIEW RD",
            "address_2": "STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103167",
            "telephone_number": "704-523-1462",
            "fax_number": "704-525-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH-KHAN",
        "first_name": "SARDAR",
        "middle_name": "MURTUZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-28",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Shaffer
• Kathy Shaffer, APRN, AGCNS-BC, CBC
• Bryan T. Shaffman, CRNA
• Tara Anne Shaffman, CRNA
• Susan Shaffner
• Sardar Mustapa Shah-Khan, DDS
• Aashish A Shah, M.D.
• Ameesh A. Shah, MD
• Amishi Y Shah, MD
• Ankur N Shah, M.D.

• Dentist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.