Al-Harith M Shalash, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9955 Issued in KY

Practice address

2358 Nicholasville Rd Ste 156
Lexington, KY 40503-3041

Phone

(859) 381-0680

NPI assigned

Jun 2, 2017

Last updated

Jun 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ams Dental

  • Dental Clinic/Center
  • Lexington, KY
  • NPI 1275320830
  NPD Authorized official
• Dental Services of Kentucky, PSC

  dba ImmediaDent

  • Dentist
  • Lexington, KY
  • NPI 1821248162
  NPD (past)

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1316475304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 NICHOLASVILLE RD STE 156",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033041",
            "telephone_number": "859-381-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 NICHOLASVILLE RD STE 156",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033041",
            "telephone_number": "859-381-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALASH",
        "first_name": "AL-HARITH",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren I Shaikun, M.D.
• Mallory Mae Shake
• Ghassan Shakhashiro, M.D.
• Yamaan Shakhashiro
• Shams Abdus Shakil, MD
• Hoda Shalash, DSW, LCSW
• Iman Shalash
• Sara Shalash, LCSW
• Soha Shalash
• Tesneem Issa Shalash

• General Practice Dentistry in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.