Shahrukh Syed

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

0401418127 Issued in VA

Practice address

277 McLaws Cir
Williamsburg, VA 23185-5649

Phone

(757) 784-0141

NPI assigned

Oct 20, 2022

Last updated

Oct 24, 2022By 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

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": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1326765389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 DENISE DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933041",
            "telephone_number": "646-833-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 MCLAWS CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855649",
            "telephone_number": "757-784-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "SHAHRUKH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401418127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Michael Swaine, MA LPC
• Jessica L Swan, MCJ, LSATP, MAC, CAS
• Marion Brewster Swanson, PSY.D.
• Blair Sweeney, PT, DPT
• Ashley Sweet, LPC, LMHC
• Lynne Szewczyk, LPC MA NCC
• Samuel Anthony John Tabacchi, DO
• Joselin D Tacastacas, MD
• Stacey Harris Tadlock, FNP-BC
• Dylan T Tagg, DMD

• Prosthodontics in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Prosthodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.