Active NPI
Linda Shafik, DDS
- General Practice Dentistry
- Raleigh, NC
National Provider Identifier
1306802145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7924
- Practice address
- 817 Brooklyn St
Raleigh, NC 27605-1469 - Phone
- (919) 896-7117
- Fax
- (919) 896-7565
- NPI assigned
- Apr 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7924 | NC | Primary |
Addresses
Primary practice location
817 Brooklyn St
Raleigh, NC 27605-1469
Mailing address
817 Brooklyn St
Raleigh, NC 27605-1469
Phone (919) 896-7117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899025F | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7924 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1306802145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 BROOKLYN ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051469",
"telephone_number": "919-896-7117",
"fax_number": "919-896-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 BROOKLYN ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051469",
"telephone_number": "919-896-7117",
"fax_number": "919-896-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFIK",
"first_name": "LINDA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899025F",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.