Shahid Dental Group, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHAHID DENTAL GROUP, PLLC

Doing business as

Omaha Family Dental

Practice address

607 Ray Jacobs Ave
Omaha, TX 75571-4142

Phone

(903) 884-2321

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin E Tuinei

Title

Credentialing Manager

Phone

(602) 750-6897

Specialties & licenses 1

Addresses

Other names 1

• Omaha Family Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Husnain Shahid, DDS

  • General Practice Dentistry
  • Mount Pleasant, TX
  • NPI 1871154534
  NPD (past)
• Frederic G. Sperry, D.D.S.

  • General Practice Dentistry
  • Omaha, TX
  • NPI 1023164746
  NPD (past)
• Stephen A Sperry, D.D.S.

  • Dentist
  • Omaha, TX
  • NPI 1427344712
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1346830874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 RAY JACOBS AVE",
            "city": "OMAHA",
            "state": "TX",
            "postal_code": "755714142",
            "telephone_number": "903-884-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 RAY JACOBS AVE",
            "city": "OMAHA",
            "state": "TX",
            "postal_code": "755714142",
            "telephone_number": "903-884-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHID DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "TUINEI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-750-6897"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omaha Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indigo Assisted Living, LLC (Indigo Assisted Living)
• Inspire Omaha Health LLC (Omaha Health Care Center)
• Nexion Health at Omaha, Inc. (Omaha Healthcare Center)
• Balakumar Periyasamy
• Pewitt Isd
• Frederic G. Sperry, D.D.S.
• Stephen A Sperry, D.D.S.
• Amelia L Stevens, M.D.

• Dental Clinic/Center in Omaha, TX
• Providers in Omaha, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.