Shahida Qazi, DDS, FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

036627-1 Issued in NY

Practice address

84 N Main St
Cortland, NY 13045-2127

Phone

(607) 753-1843

Fax

(607) 753-0938

NPI assigned

Jun 9, 2005

Reactivated

Mar 21, 2006

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376547232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 N MAIN ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452127",
            "telephone_number": "607-753-1843",
            "fax_number": "607-753-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 N MAIN ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452127",
            "telephone_number": "607-753-1843",
            "fax_number": "607-753-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAZI",
        "first_name": "SHAHIDA",
        "name_prefix": "Dr.",
        "credential": "DDS, FAGD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036627-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Primiano, LMSW
• Michael L. Pryce, M.D.
• Karen S Puccia, RN
• Joseph Pullman, LCSW-R
• Rachel Putnam, MD
• Melissa A Quick, CASAC
• Bridget Monika Quinlan, OTR/L
• Radiation Oncology Services PC
• Nancy J Randall, R.PH.
• Harish Ravipati, MD

• General Practice Dentistry in Cortland, NY
• Providers in Cortland, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.