Shamim Amin Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHAMIM AMIN DENTAL PLLC

Practice address

5203 Broadway St
Quincy, IL 62305-9110

Phone

(217) 577-2400

NPI assigned

Jun 12, 2019

Organization subpart

No

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

Authorized official

Name

Shamim Amin

Title

Owner

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Mantinaos, DMD

  • Dentist
  • Quincy, IL
  • NPI 1639328677
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1245899343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441903189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623059110",
            "telephone_number": "217-577-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMIM AMIN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SHAMIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SH Care, LLC
• Kristin Shaffer, PT
• Ruchi Shah, MD
• Dale Dawson Shahan, D.D.S.
• Imran Shaikh, MD
• Shari Jones Physical Therapy Inc
• Mayank Sharma, M.D.
• Jason E. Sharp, MD
• Rochell Sharpe-Hultz, APRN-PMHNP
• Rebecca Sharpe-Whitaker, N.P.

• General Practice Dentistry in Quincy, IL
• Providers in Quincy, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.