Shuya Bi, DDS
Individual provider Active NPI General Practice Dentistry · Saltillo, MS
NPI 1366094153 · NPPES record last updated Jul 23, 2025
Key facts
- NPI
- 1366094153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4452-24 (MS)
- Practice address
- 1168 Cross Creek Dr
Saltillo, MS 38866-5777 - Phone
- (662) 212-5101
- NPI assigned
- Jul 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200722001050 | TN | Order and Referring Only - Dentist |
1153745229 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4452-24 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Family Dentistry of Memphis, PC | General Practice | Past |
Accepting new patients |
| Bartlett Family Dentistry | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4452-24 | MS | Yes |
| Dentist | 122300000X | 11098 | TN | |
| General Practice Dentistry | 1223G0001X | 11098 | TN |
Addresses
Primary practice location
1168 Cross Creek Dr
Saltillo, MS 38866-5777
Mailing address
362 Caraway CV
Memphis, TN 38117-4003
Phone (443) 653-6700
Other practice location 1
7519 US Highway 64
Bartlett, TN 38133-8929
Phone (901) 371-0609
Other providers in Saltillo, MS
- Dana Tate Bailey
- Barnes Crossing Retirement Community LLC
- Dawn Turman Bean
- David Walden Bell
- Mary Katherine Benavidez
- Bolton Family Medical Clinic, P.C.
- Kirsten J Bolton
- Joshua Edwin Bostick
- Mary Jennings Bouchillon
- Emily Brandon
All providers in Saltillo, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.