Active NPI
Bita Shakiba
- Endodontics
- Houston, TX
National Provider Identifier
1356866917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 33364
- Practice address
- 1200 Post Oak Blvd Apt 2612
Houston, TX 77056-3263 - Phone
- (310) 980-2925
- NPI assigned
- Aug 4, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 33364 | TX | Primary |
Addresses
Primary practice location
1200 Post Oak Blvd Apt 2612
Houston, TX 77056-3263
Mailing address
1200 Post Oak Blvd Apt 2612
Houston, TX 77056-3263
Phone (310) 980-2925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171110001143 | TX | Order and Referring Only - Dentist | 3375809155 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33364 | TX | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1356866917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 POST OAK BLVD APT 2612",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770563263",
"telephone_number": "310-980-2925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 POST OAK BLVD APT 2612",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770563263",
"telephone_number": "310-980-2925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKIBA",
"first_name": "BITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "33364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.