Shakil Uddin Syed, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11063 Issued in CT

Practice address

48 Ocean Ave
New London, CT 06320-3414

Phone

(860) 447-9280

NPI assigned

Sep 27, 2013

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Shakil Syed

  • Dental Clinic/Center
  • Pittsfield, MA
  • NPI 1376221838
  NPD Authorized official

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1699102251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203414",
            "telephone_number": "860-447-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203414",
            "telephone_number": "860-447-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "SHAKIL",
        "middle_name": "UDDIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "11063",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Sutphen, M.D.
• Erik Swanson, MD
• Keely S Sweck, BA
• Judith L Swift, RN, CDE
• Aman Syed, DDS
• Marc Steeve Sylvain, LPC-A
• Magdalena Szutowska, D.O.
• Alyssa Szydlo
• Edwin G Taetsch, LCSW
• Rhondie Tait, PH.D.

• General Practice Dentistry in New London, CT
• Providers in New London, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.

Verify at the official NPI Registry.