Individual provider Active NPI

Rishad Shaikh, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Charles, MO
National Provider Identifier
1275731895
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2011010943 Issued in MO
Practice address
2747 W Clay St Ste B
Saint Charles, MO 63301-2557
Phone
(636) 594-6725
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 30-021959 OH
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2011010943 MO Primary

Addresses

Primary practice location

2747 W Clay St Ste B
Saint Charles, MO 63301-2557

Mailing address

621 S New Ballas Rd Ste 16a
Saint Louis, MO 63141-8239
Phone (314) 251-6725

Other practice location 1

621 S New Ballas Rd Ste 16A
Saint Louis, MO 63141-8239
Phone (314) 251-6725

Other practice location 2

60 E North St
Eureka, MO 63025-1205
Phone (636) 938-6725

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000254 MO Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 1153509203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Surgical Arts LLCGroup PAC ID 5193132975, 7 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 16a
Saint Louis, MO 63141-8239
Phone (314) 251-6725

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-021959OHMDOral and Maxillofacial Pathology Dentist
2011010943MOMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Surgical Arts, LLC CurrentSince Sep 13, 2024 Accepting new patients
Michael W. Noble, DMD, PC Oral and Maxillofacial Surgery PastSince Jun 20, 2011 Accepting new patients
Michael K Parsons DDS PC PastSince Jan 1, 2023 Accepting new patients
Clarkson Oral Surgery Oral and Maxillofacial Surgery Past Accepting new patients

Locations

2997 Clarkson Rd
Ste 120
Chesterfield, MO 63017
Phone (636) 400-6725

60 E North St
Eureka, MO 63025
Phone (314) 251-6725

2747 W Clay St
Saint Charles, MO 63301
Phone (314) 862-0700

2747 W Clay St
Ste B
Saint Charles, MO 63301
Phone (636) 594-6725

621 S New Ballas Rd
Ste 1
Saint Louis, MO 63141
Phone (314) 251-6725

621 S New Ballas Rd
Ste 16A
Saint Louis, MO 63141
Phone (314) 251-6725

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1275731895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 16A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418239",
            "telephone_number": "314-251-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 W CLAY ST STE B",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012557",
            "telephone_number": "636-594-6725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 S New Ballas Rd Ste 16A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418239",
            "country_code": "US",
            "telephone_number": "314-251-6725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 E North St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "MO",
            "postal_code": "630251205",
            "country_code": "US",
            "telephone_number": "636-938-6725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "RISHAD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "OH",
            "license": "30-021959",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2011010943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.