Individual provider Active NPI

Shaista Rashid, DDS, MS, MPH

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1255783627
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2021011959 Issued in MO
Practice address
1500 Park Ave
Saint Louis, MO 63104-3024
Phone
(515) 720-8196
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X F009 OK
General Practice Dentistry 1223G0001X FDN13 ME
Dentist 122300000X 2021011959 MO Primary

Addresses

Primary practice location

1500 Park Ave
Saint Louis, MO 63104-3024

Mailing address

1500 Park Ave
Saint Louis, MO 63104-3024
Phone (515) 720-8196

Other practice location 1

716 Stevens Ave
Portland, ME 04103
Phone (515) 720-8196

Other practice location 2

3825 NW 50th street
Oklahoma city, OK 73112
Phone (515) 720-8196

Other identifiers 3

IdentifierTypeStateIssuer
536737OtherOKUNIVERSITY OF OKLAHOM
010211810OtherMEUNE OHC
010211810OtherMODENTISTRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20210707002600 MO Order and Referring Only - DentistPractitioner - Dentist 6406258870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2021011959MOMDDentist
F009OKMDDentist
FDN13MEMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: shaista.rashid.p1@direct.affiniahealthcare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1255783627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PARK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043024",
            "telephone_number": "515-720-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PARK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043024",
            "telephone_number": "515-720-8196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Stevens Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "04103",
            "country_code": "US",
            "telephone_number": "515-720-8196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3825 NW 50th street",
            "address_purpose": "LOCATION",
            "city": "Oklahoma city",
            "state": "OK",
            "postal_code": "73112",
            "country_code": "US",
            "telephone_number": "515-720-8196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASHID",
        "first_name": "SHAISTA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "F009",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "FDN13",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2021011959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY OF OKLAHOM",
            "identifier": "536737",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNE OHC",
            "identifier": "010211810",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTISTRY",
            "identifier": "010211810",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.