Amr Sheta, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413302 Issued in VA

Practice address

4520 Pretty Lake Ave
Ste 201
Norfolk, VA 23518-1826

Phone

(757) 362-0600

Fax

(757) 362-0010

NPI assigned

Jul 19, 2011

Last updated

May 3, 2017By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1558659979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 PRETTY LAKE AVE",
            "address_2": "STE 201",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181826",
            "telephone_number": "757-362-0600",
            "fax_number": "757-362-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 PRETTY LAKE AVE",
            "address_2": "STE 201",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181826",
            "telephone_number": "757-362-0600",
            "fax_number": "757-362-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETA",
        "first_name": "AMR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Norfolk, VA
• Providers in Norfolk, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.