Individual provider Active NPI

Shaista Y Najmi, D.M.D

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1336337401
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 16915 Issued in FL
Practice address
11362 San Jose Blvd
Suite #7
Jacksonville, FL 32223-7960
Phone
(904) 998-1555
NPI assigned
Oct 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 16915 FL Primary

Addresses

Primary practice location

11362 San Jose Blvd
Suite #7
Jacksonville, FL 32223-7960

Mailing address

313 S Danbury Rd
Saint Johns, FL 32259-6283
Phone (201) 696-7570

Other names 1

  • Shaista Y Najmi Other name

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
DN 16915FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1192320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1336337401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S DANBURY RD",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322596283",
            "telephone_number": "201-696-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11362 SAN JOSE BLVD",
            "address_2": "SUITE #7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237960",
            "telephone_number": "904-998-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJMI",
        "first_name": "SHAISTA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-14",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 16915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAISTA",
            "last_name": "NAJMI",
            "middle_name": "Y",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.