Shahenaz Kamal Ahmed, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42512 Issued in CA

Practice address

14350 Whittier Blvd
St 210
Whittier, CA 90605-2103

Phone

(562) 789-8515

Fax

(562) 789-8505

NPI assigned

Apr 19, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• St. Johns Community Health

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1073653630
  Medicare reassignment NPD
• Shahenaz Kamal Ahmed, DDS, a Professional Corporation

  • Dentist
  • Whittier, CA
  • NPI 1669576955
  NPD Authorized official
• St. Johns Community Health

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1073363768
  NPD
• St. Johns Community Health

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1578145660
  NPD
• St. Johns Community Health

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
  • NPI 1780376947
  NPD (past)

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1457795544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9325",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90608",
            "telephone_number": "562-789-8515",
            "fax_number": "562-789-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 WHITTIER BLVD",
            "address_2": "ST 210",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052103",
            "telephone_number": "562-789-8515",
            "fax_number": "562-789-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SHAHENAZ",
        "middle_name": "KAMAL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WITH CORPORATION",
            "identifier": "1669576955",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Armando Aguiniga, PA-C
• Ana Aguirre
• Iris Yesenia Aguirre
• Ahmc Whittier Hospital Medical
• Ahmc Whittier Hospital Medical Center LP
• Andrew Daesung Ahn, M.D.
• Sheena Seonha Ahn
• Sara Ahumada, M.S.
• Aidan P. O'Brien, M.D., Inc.
• AIDS Healthcare Foundation

• General Practice Dentistry in Whittier, CA
• Providers in Whittier, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.