Active NPI
Hennah Shamji
- Pediatric Dentistry
- Cibolo, TX
National Provider Identifier
1669045969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 38110
- Practice address
- 112 Gulf St
Cibolo, TX 78108-3845 - Phone
- (210) 724-4100
- NPI assigned
- Jul 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 38110 | TX | |
| Pediatric Dentistry | 1223P0221X | 38110 | TX | Primary |
Addresses
Primary practice location
112 Gulf St
Cibolo, TX 78108-3845
Mailing address
2419 Greystone LNDG
San Antonio, TX 78259-1865
Phone (281) 704-4930
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38110 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1669045969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 GREYSTONE LNDG",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782591865",
"telephone_number": "281-704-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 GULF ST",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781083845",
"telephone_number": "210-724-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMJI",
"first_name": "HENNAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "38110",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "38110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cibolo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.