Active NPI
Amber Shaikh, DDS
- Dentist
- Spruce Pine, NC
National Provider Identifier
1649791203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 51148
- Practice address
- 179 Hospital Dr
Spruce Pine, NC 28777-3035 - Phone
- (828) 765-0110
- NPI assigned
- Jul 3, 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 | 51148 | NC | Primary |
Addresses
Primary practice location
179 Hospital Dr
Spruce Pine, NC 28777-3035
Mailing address
1851 Macgregor Downs Rd
Greenville, NC 27834-5925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181112000720 | TN | Order and Referring Only - Dentist | 8628322674 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51148 | NC | MD | Dentist |
| 10702 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina University | Dentist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba East Carolina University School of Dental Medicine, CSLC Spruce Pine
- Dentist
- Spruce Pine, NC
- NPI 1144624446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499040000000",
"number": "1649791203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 MACGREGOR DOWNS RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 HOSPITAL DR",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "287773035",
"telephone_number": "828-765-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIKH",
"first_name": "AMBER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2017-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "51148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spruce Pine, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.