Active NPI
Shabnaaz Kamal, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Elgin, IL
National Provider Identifier
1649688920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 35821
- Practice address
- 47 Clock Tower PLZ
Elgin, IL 60120-7800 - Phone
- (847) 695-8780
- NPI assigned
- Jul 30, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019029971 | IL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 35821 | TX | Primary |
Addresses
Primary practice location
47 Clock Tower PLZ
Elgin, IL 60120-7800
Mailing address
8939 Deer Meadow Dr
Houston, TX 77071-2458
Phone (646) 226-3511
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35821 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1649688920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8939 DEER MEADOW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770712458",
"telephone_number": "646-226-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 CLOCK TOWER PLZ",
"city": "ELGIN",
"state": "IL",
"postal_code": "601207800",
"telephone_number": "847-695-8780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMAL",
"first_name": "SHABNAAZ",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-30",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029971",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "35821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.