Individual provider Active NPI

Naseema Shafi Maiary, DDS

  • Dentist
  • Farmington, CT
National Provider Identifier
1477682383
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
009793 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06032-1956
Phone
(860) 679-2808
Fax
(860) 679-1330
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 009793 CT Primary
General Practice Dentistry 1223G0001X 150564 NC

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06032-1956

Mailing address

133 Scoville St
Waterbury, CT 06706-5812
Phone (203) 709-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150102000657 CT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375866197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009793CTMDDentist
150564NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1477682383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SCOVILLE ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067065812",
            "telephone_number": "203-709-7055",
            "fax_number": "203-709-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321956",
            "telephone_number": "860-679-2808",
            "fax_number": "860-679-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIARY",
        "first_name": "NASEEMA",
        "middle_name": "SHAFI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "009793",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "150564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.