Mandana Shaya, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

16611 Issued in MD

Practice address

621 Ridgely Ave Ste 206
Annapolis, MD 21401-1083

Phone

(410) 224-2660

NPI assigned

May 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kathy Liu DDS LLC

  • General Practice Dentistry
  • Annapolis, MD
  • NPI 1396426722
  NPD
• E.L. Chambers P.a.

  dba Chambers Family Dentistry

  • General Practice Dentistry
  • Annapolis, MD
  • NPI 1891910410
  NPD (past)

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1437507837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RANDOLPH ST",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 RIDGELY AVE STE 206",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011083",
            "telephone_number": "410-224-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Muir St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MD",
            "postal_code": "216131871",
            "country_code": "US",
            "telephone_number": "410-228-4045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAYA",
        "first_name": "MANDANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040764",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akshay Sharma, M.B.B.S
• Joanne Marie Sharp, OTRL
• Theresa Zeigenfuss Sharp, OT/L, MS
• Staci Shaver
• Ruth Marion Shaw-Taylor, M.D.
• Colleen Nicole Sheahan, AUD
• Vernon Lyn Sheen, D.M.D.
• Victoria J Shellem, CRNP
• Robiyale Shelley
• Suzanne Shelling, P.A.

• Dentist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.