Individual provider Active NPI

Abraham Shait, D.D.S.

  • Periodontics
  • Richmond, VA
National Provider Identifier
1588731186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
05226 Issued in VA
Practice address
3210 Skipwith Rd
Suite D
Richmond, VA 23294-4443
Phone
(804) 270-7070
Fax
(804) 270-0277
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 05226 VA Primary

Addresses

Primary practice location

3210 Skipwith Rd
Suite D
Richmond, VA 23294-4443

Mailing address

3210 Skipwith Rd
Suite D
Richmond, VA 23294-4443
Phone (804) 270-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160224001738 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325343601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05226VAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588731186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 SKIPWITH RD",
            "address_2": "SUITE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944443",
            "telephone_number": "804-270-7070",
            "fax_number": "804-270-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 SKIPWITH RD",
            "address_2": "SUITE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944443",
            "telephone_number": "804-270-7070",
            "fax_number": "804-270-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIT",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "05226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.