Individual provider Active NPI

Rula Mahmoud Shalabi, D.M.D.

  • Pediatric Dentistry
  • Easley, SC
National Provider Identifier
1609282425
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8355 Issued in SC
Practice address
1026 Powdersville Rd
Suite a
Easley, SC 29642
Phone
(864) 442-6770
Fax
(864) 442-6830
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 8355 SC Primary

Addresses

Primary practice location

1026 Powdersville Rd
Suite a
Easley, SC 29642

Mailing address

1026 Powdersville Road
Suite a
Easley, SC 29642
Phone (864) 442-6770

Other identifiers 2

IdentifierTypeStateIssuer
ZA8955MedicaidSC
ZX8355MedicaidSC

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
8355SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Pediatric Dentistry Pediatric Dentistry CurrentSince Nov 9, 2025 Accepting new patients

Locations

1026 Powdersville Rd
Ste A
Easley, SC 29642
Phone (864) 442-6770

1673 E Main St
#B
Easley, SC 29640
Phone (864) 644-0142

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1609282425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 POWDERSVILLE ROAD",
            "address_2": "SUITE A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29642",
            "telephone_number": "864-442-6770",
            "fax_number": "864-442-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 POWDERSVILLE RD",
            "address_2": "SUITE A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29642",
            "telephone_number": "864-442-6770",
            "fax_number": "864-442-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALABI",
        "first_name": "RULA",
        "middle_name": "MAHMOUD",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "8355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA8955",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX8355",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.