Shahad Alwan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10646 Issued in KY

Practice address

230 Connector Rd
Georgetown, KY 40324-9722

Phone

(502) 642-5008

NPI assigned

Jun 11, 2021

Last updated

Jun 11, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dustin Mayrand DMD PLLC

  dba Advanced Dentistry of Georgetown

  • General Practice Dentistry
  • Georgetown, KY
  • NPI 1588410088
  NPD
• Dental Health Associates PSC

  • General Practice Dentistry
  • Paris, KY
  • NPI 1396020301
  NPD (past)

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1467020073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CONNECTOR RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249722",
            "telephone_number": "502-642-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CONNECTOR RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249722",
            "telephone_number": "502-642-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 Rocky Dr",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "KY",
            "postal_code": "403611370",
            "country_code": "US",
            "telephone_number": "859-987-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALWAN",
        "first_name": "SHAHAD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Anne Allen, MS, RD, LD
• Wilson Kingsley Allen, DMD
• Allison Henley, DMD, PLLC (Drs. Shepherd and Henley Family Dentistry)
• Antonio Allman
• Dalia Marie Alsous
• American Best Practices, LLC
• American Current Care PA (Concentra Urgent Care)
• Ashley Ammerman, APRN
• Lauren Elyse Ammerman, M.ED
• Christopher Arthur Angelopoulos, D.C.

• General Practice Dentistry in Georgetown, KY
• Providers in Georgetown, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.