Individual provider Active NPI

Kiran Shahid, DDS

  • Dentist
  • Pearland, TX
National Provider Identifier
1497485361
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42227 Issued in TX
Practice address
6302 Broadway St Ste 150
Pearland, TX 77581-7828
Phone
(281) 412-4000
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1223G0001X NE
Dentist 122300000X 42227 TX Primary

Addresses

Primary practice location

6302 Broadway St Ste 150
Pearland, TX 77581-7828

Mailing address

4727 Llano Loop
Sugar Land, TX 77479-7084
Phone (202) 763-0093

Other practice location 1

140 S 16th St
Lincoln, NE 68508-1805
Phone (402) 435-6101

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
1223G0001XNEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Smile Dental PastSince Jun 21, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1497485361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 LLANO LOOP",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797084",
            "telephone_number": "202-763-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 BROADWAY ST STE 150",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775817828",
            "telephone_number": "281-412-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685081805",
            "country_code": "US",
            "telephone_number": "402-435-6101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "KIRAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "1223G0001X",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "42227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.