M Shadi Anis

Primary specialty

DentistTaxonomy code 122300000X

License

109773 Issued in CA

Practice address

2200 Del Paso Blvd
Sacramento, CA 95815-3102

Phone

(612) 407-6170

NPI assigned

Dec 29, 2023

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

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.

• Amr Enaya, DDS, Inc

  dba Galt Healthy Smile

  • Dental Clinic/Center
  • Galt, CA
  • NPI 1922591528
  NPD (past)

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1467221531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8564 MILSAP CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241269",
            "telephone_number": "612-407-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DEL PASO BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153102",
            "telephone_number": "612-407-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIS",
        "first_name": "M SHADI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-29",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiela Leigh Samson Angulo, DO
• Anhquoc (Nhan Tam Med Clinic)
• Andrew Anich
• Eberechukwu Olivia Aniche, AGACNP-BC
• Celestine Anim
• Anise Health Psychiatry PC
• Darah Anisodon
• Anna Anisovets
• Anjali Sharma, M.D., Inc.
• Melisa Anjejo

• Dentist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.