Individual provider Active NPI

Samar Shaikh, B.D.S

  • Periodontics
  • Nashua, NH
National Provider Identifier
1730632266
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
04929 Issued in NH
Practice address
280 Main St Ste 411
Nashua, NH 03060-2921
Phone
(603) 880-1707
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X FDN16 ME
Periodontics 1223P0300X DEN4808 ME
Student in an Organized Health Care Education/Training Program 390200000X A29800 ZZ
Periodontics 1223P0300X 04929 NH Primary

Addresses

Primary practice location

280 Main St Ste 411
Nashua, NH 03060-2921

Mailing address

152 Old Colony Ave Unit 7
Boston, MA 02127-2450

Other practice location 1

716 Stevens Ave # 204
Portland, ME 04103
Phone (857) 526-4911

Other practice location 2

1 Kneeland St
Tufts Univeristy School of Dental Medicine
Boston, MA 02111-1527
Phone (617) 636-6531

Other practice location 3

716 Stevens Ave # 204
Portland, ME 04103
Phone (857) 526-4911

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

LicenseStateTypeSpecialty
DEN4808MEMDPeriodontist
FDN16MEMDPeriodontist
04929NHMDPeriodontist
A29800ZZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cohasset Perio PLLC Periodontics Current Accepting new patients
Plymouth Perio PLLC Periodontics Current Accepting new patients
Gate City Dental Associates PLLC Periodontics CurrentSince Apr 9, 2024 Accepting new patients
Gate City Dental PLLC Periodontics CurrentSince Apr 9, 2024 Accepting new patients

Locations

280 Main St
Ste 411
Nashua, NH 03060
Phone (603) 880-1707

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1730632266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 OLD COLONY AVE UNIT 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAIN ST STE 411",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602921",
            "telephone_number": "603-880-1707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Stevens Ave # 204",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "04103",
            "country_code": "US",
            "telephone_number": "857-526-4911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Kneeland St",
            "address_2": "Tufts Univeristy School of Dental Medicine",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111527",
            "country_code": "US",
            "telephone_number": "617-636-6531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "716 Stevens Ave # 204",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "04103",
            "country_code": "US",
            "telephone_number": "857-526-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "SAMAR",
        "credential": "B.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "ME",
            "license": "FDN16",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "ME",
            "license": "DEN4808",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ZZ",
            "license": "A29800",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "04929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.