Individual provider Active NPI

Ziauddin Sayeedudin Shaik, DDS

  • General Practice Dentistry
  • Rome, NY
National Provider Identifier
1770574121
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050682 Issued in NY
Practice address
109 W Thomas St
Rome, NY 13440-5113
Phone
(315) 336-3677
Fax
(315) 336-3618
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 050682 NY Primary

Addresses

Primary practice location

109 W Thomas St
Rome, NY 13440-5113

Mailing address

109 W Thomas St
Rome, NY 13440-5113
Phone (315) 336-3677

Other identifiers 1

IdentifierTypeStateIssuer
02631809MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20150702001735 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5698087740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770574121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W THOMAS ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405113",
            "telephone_number": "315-336-3677",
            "fax_number": "315-336-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W THOMAS ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405113",
            "telephone_number": "315-336-3677",
            "fax_number": "315-336-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIK",
        "first_name": "ZIAUDDIN",
        "middle_name": "SAYEEDUDIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02631809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.