Individual provider Active NPI

Asma Shareef, DDS

  • Dentist
  • Fort Stewart, GA
National Provider Identifier
1609098177
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054802 Issued in NY
Practice address
343 Warrior Road
Fort Stewart, GA 31314
Phone
(912) 312-3352
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054802 NY Primary
Dentist 122300000X 2901019443 MI

Addresses

Primary practice location

343 Warrior Road
Fort Stewart, GA 31314

Mailing address

963 Timbers Way
Hinesville, GA 31313-6485
Phone (571) 801-6773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201222000916 TX Practitioner - Dentist 6800208554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901019443MIMDDentist
054802NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoshone-Paiute Tribes CurrentSince Sep 21, 2020 Accepting new patients
Shoshone Paiute Tribes CurrentSince Sep 21, 2020 Accepting new patients
Fort Stewart Dentac PastSince Mar 30, 2025 Accepting new patients

Locations

1623 Hospital Loop
Owyhee, NV 89832
Phone (775) 757-2403

Organizations & group practices 3

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1609098177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 TIMBERS WAY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313136485",
            "telephone_number": "571-801-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 WARRIOR ROAD",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-312-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAREEF",
        "first_name": "ASMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054802",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

Verify at the official NPI Registry.