Active NPI
Shehzad Ahmad
- Dentist
- Turlock, CA
National Provider Identifier
1770068934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103279
- Practice address
- 703 N Golden State Blvd
Turlock, CA 95380-3953 - Phone
- (209) 216-4198
- NPI assigned
- Oct 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 103279 | CA | Primary |
Addresses
Primary practice location
703 N Golden State Blvd
Turlock, CA 95380-3953
Mailing address
4132 Piccadilly LN
Turlock, CA 95382-7343
Phone (209) 628-8917
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 |
|---|---|---|---|
| 103279 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1770068934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4132 PICCADILLY LN",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953827343",
"telephone_number": "209-628-8917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 N GOLDEN STATE BLVD",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953803953",
"telephone_number": "209-216-4198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "SHEHZAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-03",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.