Individual provider Active NPI

Suad Adeline Shamieh, DDS

  • General Practice Dentistry
  • High Point, NC
National Provider Identifier
1457027609
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13998 Issued in NC
Practice address
101 Northpoint Ave
High Point, NC 27262-7719
Phone
(336) 883-6450
Fax
(336) 883-6451
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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 13998 NC Primary

Addresses

Primary practice location

101 Northpoint Ave
High Point, NC 27262-7719

Mailing address

140 Dental Circle
330 Brauer Hall
Chapel Hill, NC 27599-7450
Phone (919) 537-3957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250109003582 NC Order and Referring Only - DentistPractitioner - Dentist 7517495104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13998NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lane and Associates Xxxviii DDS PA General Practice CurrentSince Dec 8, 2024 Accepting new patients
Annie M Reid D.D.S. General Practice PastSince Dec 8, 2024 Accepting new patients

Locations

101 Northpoint Ave
High Point, NC 27262
Phone (336) 883-6450

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1457027609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DENTAL CIRCLE",
            "address_2": "330 BRAUER HALL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997450",
            "telephone_number": "919-537-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NORTHPOINT AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627719",
            "telephone_number": "336-883-6450",
            "fax_number": "336-883-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMIEH",
        "first_name": "SUAD",
        "middle_name": "ADELINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.