Individual provider Active NPI

Sarah D Shih, D.D.S., M.S., D.M.SC

  • Periodontics
  • Newton Centre, MA
National Provider Identifier
1386740322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
18634 Issued in MA
Practice address
1087 Beacon St
Suite 101
Newton Centre, MA 02459-1700
Phone
(617) 332-8862
Fax
(617) 332-4291
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 18634 MA Primary

Addresses

Primary practice location

1087 Beacon St
Suite 101
Newton Centre, MA 02459-1700

Mailing address

1087 Beacon St
Suite 101
Newton Centre, MA 02459-1700
Phone (617) 332-8862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20150922003040 MA Order and Referring Only - DentistPractitioner - Dentist 7214244300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
18634MAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386740322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 BEACON ST",
            "address_2": "SUITE 101",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591700",
            "telephone_number": "617-332-8862",
            "fax_number": "617-332-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 BEACON ST",
            "address_2": "SUITE 101",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591700",
            "telephone_number": "617-332-8862",
            "fax_number": "617-332-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIH",
        "first_name": "SARAH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., D.M.SC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "18634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Centre, MA

Sources for this page

Verify at the official NPI Registry.