Amer Shah

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002452-15 Issued in WI

Practice address

10707 W Beloit Rd
Greenfield, WI 53228-1225

Phone

(414) 209-7465

NPI assigned

Oct 6, 2020

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Dec 31, 2020 through Dec 31, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William Carini DDS SC

  • General Practice Dentistry
  • Greenfield, WI
  • NPI 1801998778
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1336746023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10707 W BELOIT RD",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 W BELOIT RD",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281225",
            "telephone_number": "414-209-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AMER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002452-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Recovery Clinic, LLC
• Mayra Serna Garcia, MS, OTR/L
• Linda M Serrano, M.D.
• Judith Joyce Sewell, LPN
• Janet A Shafer, RN,MS,LPC
• Aparna S. Shah, MD
• Shamas Enterprises
• Shaun Shambeau, LPC, SAC-IT
• Mark E Sharafinski Sr., RPH
• Chaksau Sharma, MD

• General Practice Dentistry in Greenfield, WI
• Providers in Greenfield, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.