Hadeel Z Shtawi, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS043229 Issued in PA

Practice address

1126 Horsham Rd Ste B
Ambler, PA 19002-1178

Phone

(215) 980-9672

NPI assigned

Jul 27, 2021

Sex

Female

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

State licenses

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1275206104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LOWER STAE RD",
            "address_2": "APT 08-B02",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542128",
            "telephone_number": "215-980-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 HORSHAM RD STE B",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021178",
            "telephone_number": "215-980-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTAWI",
        "first_name": "HADEEL",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwenda Lee Klein Sheedy, OTR/L
• Sherlin Philipose LLC
• Ericka Hanson Shields, MOT, OTR/L
• Gerry L Shomer, DO
• Suzanne Shorten
• Carol Signore, LMFT
• Arthur Ephraim Silverman, M.D.
• Sarah Simon, MS OTR/L
• Andrew Simonson, M.D.
• Simplex Health

• General Practice Dentistry in Ambler, PA
• Providers in Ambler, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.