Active NPI
Heba Shammout
- Dentist
- Bakersfield, CA
National Provider Identifier
1609306745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 101493
- Practice address
- 2750 Ming Ave
Bakersfield, CA 93304-4431 - Phone
- (661) 396-1701
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 101493 | CA | Primary |
Addresses
Primary practice location
2750 Ming Ave
Bakersfield, CA 93304-4431
Mailing address
6300 Wheeler Valley LN
Bakersfield, CA 93311-9149
Phone (559) 300-0578
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1609306745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 WHEELER VALLEY LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119149",
"telephone_number": "559-300-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 MING AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933044431",
"telephone_number": "661-396-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMMOUT",
"first_name": "HEBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "101493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.