Individual provider Active NPI

Shazia Mehdi, DDS

  • General Practice Dentistry
  • Saratoga Springs, NY
National Provider Identifier
1447337555
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051533 Issued in NY
Practice address
409 Geyser Rd
Suite B
Saratoga Springs, NY 12020-3022
Phone
(518) 583-3553
Fax
(515) 583-4676
NPI assigned
Nov 1, 2006
Last updated
Apr 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 051533 NY Primary

Addresses

Primary practice location

409 Geyser Rd
Suite B
Saratoga Springs, NY 12020-3022

Mailing address

409 Geyser Rd
Suite B
Saratoga Springs, NY 12020-3022
Phone (518) 583-3553

Other identifiers 1

IdentifierTypeStateIssuer
02602922MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160331001519 NY Order and Referring Only - DentistPractitioner - Dentist 3971800244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051533NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Dental PLLC General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1447337555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 GEYSER RD",
            "address_2": "SUITE B",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "120203022",
            "telephone_number": "518-583-3553",
            "fax_number": "515-583-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 GEYSER RD",
            "address_2": "SUITE B",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "120203022",
            "telephone_number": "518-583-3553",
            "fax_number": "515-583-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDI",
        "first_name": "SHAZIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02602922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.