Shayan Aslam Nizami, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

36179 Issued in TX

Practice address

3330 Douglas Ave
Dallas, TX 75219-2717

Phone

(214) 780-0600

NPI assigned

Jun 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1790301554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SHEILA AVE",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943797",
            "telephone_number": "469-358-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 DOUGLAS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192717",
            "telephone_number": "214-780-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZAMI",
        "first_name": "SHAYAN",
        "middle_name": "ASLAM",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.lifedentalcenter.com",
            "affiliation": "N",
            "address_1": "3330 Douglas Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752192717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Nix, MA LPC
• Charles Thomas Nixon Jr., MD
• Morton Randall Nixon
• Shana Nixon
• Ambreen Nizami, DMD
• Susan Anne Niznak, CRNA
• Lucy Njoki Njau
• Tasharika Njeleka
• Lizette Mangum-Nnam Nji
• Lucas Njo, MD

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.