Sheena Devika Shukla Hauser, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7902 Issued in NC

Practice address

136 Indian Trail Rd S # B
Indian Trail, NC 28079-9669

Phone

(704) 821-7222

Fax

(704) 821-4310

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

Yes

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 PA

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

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1780767822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E LANCASTER AVE",
            "address_2": "APT. B-101",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962014",
            "telephone_number": "484-412-8698",
            "fax_number": "484-412-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 INDIAN TRAIL RD S # B",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799669",
            "telephone_number": "704-821-7222",
            "fax_number": "704-821-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "SHEENA",
        "middle_name": "DEVIKA SHUKLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harris Teeter LLC
• Melody Harris, LPC
• Hasmi Ramesh Patel, DMD, PLLC (Indian Trail Dental Studio)
• Andrea Nicole Hathcock, COTA
• Lindsey Marie Hattersley, D.C.
• Helen Bernice Hayes, FNP-BC, PMHNP-BC
• Heartwood Ventures, LLC
• Quantavia Nashea Heath, BSN, RN
• Kyle Heinicke
• Andrew Helms

• General Practice Dentistry in Indian Trail, NC
• Providers in Indian Trail, 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 18, 2008; 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.