Shahir Bano

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13511 Issued in NC

Practice address

515 Dr Calvin Jones Hwy Ste 120
Wake Forest, NC 27587-3159

Phone

(302) 220-6426

NPI assigned

Nov 12, 2021

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Neibauer Dental Care

  • Dentist
  • Fredericksburg, VA
  • NPI 1275790651
  NPD (past)
• Neibauer Dental Care, PC

  dba Neibauer Dental Care - Woodbridge

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1023385648
  NPD (past)

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1700542800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 DR CALVIN JONES HWY STE 120",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 DR CALVIN JONES HWY STE 120",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873159",
            "telephone_number": "302-220-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANO",
        "first_name": "SHAHIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13511",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Gray Ball, R. PH.
• Bamyline Family Services
• Lia Banka, MSN, FNP-C
• Cecelia P Banks, MSW, LCSWA
• Rebecca Banks
• Kimberly A Baradei, SLP
• Kim Fuller Barber, RPH
• Shana Vaughan Bare, RD LDN CDE
• Jody Barefoot, PHARMD
• Mary Muthoni Barine, LPC

• General Practice Dentistry in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.