Shalom Amselem, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN0012583 Issued in FL

Practice address

2630 NE 203Rd St
Suite 101
Miami, FL 33180-1903

Phone

(305) 931-1888

Fax

(305) 931-0098

NPI assigned

Feb 26, 2007

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 FL

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

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346376258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 NE 203RD ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801903",
            "telephone_number": "305-931-1888",
            "fax_number": "305-931-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 NE 203RD ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801903",
            "telephone_number": "305-931-1888",
            "fax_number": "305-931-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMSELEM",
        "first_name": "SHALOM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0012583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Ampuero, APRN
• Leonard L. Ampy, MS
• Diana Amquy, LMHC
• Amr Behavior Therapy Inc
• Ams Medical and Rehabilitation Center Inc.
• Shaina Pia Amster, PA-C
• Amy Brightened Medical Center Corp
• Amy L.S. Bekanich, M.D., P.a.
• Amy Pharmacy
• Amy Quality Care Inc

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.