Sharif Atef Naeim

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2022023243 Issued in MO

Practice address

1497 N Business Route 5
Camdenton, MO 65020-2636

Phone

(573) 346-7278

NPI assigned

Jun 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Missouri Dental Professionals, Richard Straus, DMD, PC

  • General Practice Dentistry
  • Springfield, MO
  • NPI 1467672519
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1760114839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 FAIRFIELD DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655364320",
            "telephone_number": "248-839-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 N BUSINESS ROUTE 5",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650202636",
            "telephone_number": "573-346-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAEIM",
        "first_name": "SHARIF",
        "middle_name": "ATEF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2022023243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Jill Mellroy
• Mercy Hospital Springfield
• Robert Oliver Meyer, FNP
• Missouri Eye and Vision Associates, Inc.
• N & R of Camdenton, Inc.
• Fatima Naseer, MD
• James J.L. Neill, M.D.
• Shari Leuwerke Neill, MD
• Noble Drug, Inc.
• Oconnell Counseling LLC

• General Practice Dentistry in Camdenton, MO
• Providers in Camdenton, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.