Masih Shahlaie, B.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D5713 Issued in AZ

Practice address

16944 W Bell Rd
Suite B-1
Surprise, AZ 85374-8950

Phone

(623) 214-5518

Fax

(623) 214-5572

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659452357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16283 N 99TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602239",
            "telephone_number": "480-747-1969",
            "fax_number": "480-361-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16944 W BELL RD",
            "address_2": "SUITE B-1",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748950",
            "telephone_number": "623-214-5518",
            "fax_number": "623-214-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHLAIE",
        "first_name": "MASIH",
        "name_prefix": "Dr.",
        "credential": "B.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "D5713",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "050439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph Sesta, DDS
• Theresa Marie Seward, MA, LPC
• Wisam Fawzi Shaba, M.D
• Kathleen Nicole Shafer, PT, DPT
• Dawn Shagena
• Aaron David Shamblin, OTR L
• Elizabeth Shamon, OTD, OTR/L
• Prashan Shanthakumar, DDS, MS
• Nandini Paul Sharma, M.D.
• Joelle Shavers

• Periodontics in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Periodontics in Arizona

• 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.