Individual provider Active NPI

Rana Shammas, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1457904062
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35295 Issued in TX
Practice address
5900 North Fwy Ste 105
Houston, TX 77076-4041
Phone
(281) 771-1111
NPI assigned
Jul 23, 2019
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35295 TX Primary

Addresses

Primary practice location

5900 North Fwy Ste 105
Houston, TX 77076-4041

Mailing address

2006 Diamond Springs Dr
Houston, TX 77077-1997
Phone (713) 855-8937

Other practice location 1

2006 Diamond Springs Dr
Houston, TX 77077-1997
Phone (713) 855-8937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35295TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Orthodontics, PLLC PastSince Jun 21, 2020 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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1457904062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 DIAMOND SPRINGS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771997",
            "telephone_number": "713-855-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 NORTH FWY STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764041",
            "telephone_number": "281-771-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Diamond Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770771997",
            "country_code": "US",
            "telephone_number": "713-855-8937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMMAS",
        "first_name": "RANA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.