Individual provider Active NPI

Shahad Al Mashta

  • Dentist
  • Haymarket, VA
National Provider Identifier
1235803602
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401417526 Issued in VA
Practice address
6468 Trading SQ
Haymarket, VA 20169-2277
Phone
(571) 290-8594
NPI assigned
Aug 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401417526 VA Primary

Addresses

Primary practice location

6468 Trading SQ
Haymarket, VA 20169-2277

Mailing address

20713 Riptide SQ
Sterling, VA 20165-7436
Phone (571) 290-8594

Other practice location 1

8711 Digges Rd
Manassas, VA 20110-4403
Phone (703) 368-9777

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

LicenseStateTypeSpecialty
0401417526VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Al Mashta LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1235803602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20713 RIPTIDE SQ",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657436",
            "telephone_number": "571-290-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6468 TRADING SQ",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692277",
            "telephone_number": "571-290-8594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8711 Digges Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104403",
            "country_code": "US",
            "telephone_number": "703-368-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL MASHTA",
        "first_name": "SHAHAD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.