Sarosh A Shamsi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12011348A Issued in IN

Practice address

601 Library Park Dr
Suite B-1
Greenwood, IN 46142-1562

Phone

(317) 881-2050

Fax

(317) 885-7485

NPI assigned

Jul 20, 2009

Last updated

Jul 20, 2009By 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

Enrolled in IN

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

State licenses

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.

• Dental Professionals of Indiana, P.C.

  dba Healthy Smiles Family Dentistry

  • General Practice Dentistry
  • Greenwood, IN
  • NPI 1407068596
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1578793972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LIBRARY PARK",
            "address_2": "SUITE B-1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421562",
            "telephone_number": "317-881-2050",
            "fax_number": "317-885-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LIBRARY PARK DR",
            "address_2": "SUITE B-1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421562",
            "telephone_number": "317-881-2050",
            "fax_number": "317-885-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSI",
        "first_name": "SAROSH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011348A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haider Raza Shah, MD
• Kushal J Shah, M.D.
• Palak V Shah, MSPEX, PT, CPMT
• Edwin J Shakun, M.D.
• Kayla Shambarger, NP
• Caitlyn Shane
• Shank Orthodontics, LLC
• Stephanie Brooke Shank, DDS, MS
• Mohammad Fazalullah Sharief, M.D.
• Subhash C Sharma, M.D.

• Dentist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.