Individual provider Active NPI

Amir Pasha Shaibani, DMD

  • General Practice Dentistry
  • Middlefield, OH
National Provider Identifier
1649356411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21282 Issued in OH
Practice address
15875 West High Street
Middlefield, OH 44062-9263
Phone
(440) 632-0389
Fax
(440) 632-0389
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

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
General Practice Dentistry 1223G0001X 21282 OH Primary

Addresses

Primary practice location

15875 West High Street
Middlefield, OH 44062-9263

Mailing address

15875 West High Street
Middlefield, OH 44062-9263
Phone (440) 632-0389

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
21282OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649356411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15875 WEST HIGH STREET",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629263",
            "telephone_number": "440-632-0389",
            "fax_number": "440-632-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15875 WEST HIGH STREET",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629263",
            "telephone_number": "440-632-0389",
            "fax_number": "440-632-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIBANI",
        "first_name": "AMIR",
        "middle_name": "PASHA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlefield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.