Individual provider Active NPI

Shazia Akhtar, D.D.S

  • Dentist
  • Bayside, NY
National Provider Identifier
1326366642
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
055629 Issued in NY
Practice address
28-39 214TH PL
Bayside, NY 11360-2625
Phone
(718) 229-1916
NPI assigned
May 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 055629 NY Primary

Addresses

Primary practice location

28-39 214TH PL
Bayside, NY 11360-2625

Mailing address

28-39 214TH PL
Bayside, NY 11360-2625
Phone (718) 902-2740

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

LicenseStateTypeSpecialty
055629NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1326366642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28-39 214TH PL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602625",
            "telephone_number": "718-902-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-39 214TH PL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602625",
            "telephone_number": "718-229-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHTAR",
        "first_name": "SHAZIA",
        "name_prefix": "Ms.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.