Shahram Shekib, DDS, Fagd, PC

Primary specialty

DentistTaxonomy code 122300000X

License

046679 Issued in NY

Legal business name

SHAHRAM SHEKIB, DDS, FAGD, PC

Practice address

1671 55TH St
Lower Level
Brooklyn, NY 11204-1824

Phone

(718) 435-0045

Fax

(718) 435-1260

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Shahram Shekib, DDS

Title

President

Phone

(718) 435-0045

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1487640082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 55TH ST",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041824",
            "telephone_number": "718-435-0045",
            "fax_number": "718-435-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 55TH ST",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041824",
            "telephone_number": "718-435-0045",
            "fax_number": "718-435-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRAM SHEKIB, DDS, FAGD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "SHEKIB",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-435-0045",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "046679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01873069",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Afshin Shahkoohi, MD
• Shahram Shahkoohi
• Shahla Mallick Medical PC
• Tatyana Shahova
• Veer Singh Shahpuri, M.D.
• Ulviyya N/a Shahverdiyeva
• Ali Shahzad, MD
• Humayun Shahzad
• Kashif Shahzad
• Muhammad Shahzad, PA-C

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.