Individual provider Active NPI

Karim Shallwani, D.D.S.

  • Pediatric Dentistry
  • Grand Prairie, TX
National Provider Identifier
1649686189
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
32046 Issued in TX
Practice address
3055 Bardin Rd
Grand Prairie, TX 75052-3816
Phone
(214) 412-1500
NPI assigned
Jul 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 058930 NY
Pediatric Dentistry 1223P0221X 2026002824 MO
Pediatric Dentistry 1223P0221X 32046 TX Primary

Addresses

Primary practice location

3055 Bardin Rd
Grand Prairie, TX 75052-3816

Mailing address

1209 Ridgeway Dr
Richardson, TX 75080-6714
Phone (818) 322-8540

Other practice location 1

1125 W Fm 544 Ste 50
Wylie, TX 75098-4965
Phone (972) 972-4669

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
2026002824MOMDPediatric Dentist
058930NYMDPediatric Dentist
32046TXMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1649686189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 RIDGEWAY DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750806714",
            "telephone_number": "818-322-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 BARDIN RD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523816",
            "telephone_number": "214-412-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 W Fm 544 Ste 50",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750984965",
            "country_code": "US",
            "telephone_number": "972-972-4669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHALLWANI",
        "first_name": "KARIM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-04",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "058930",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2026002824",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "32046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; 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.