Shaman Meshal Al Anezi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411558 Issued in VA

Practice address

1001 W Nine Mile Rd
Suit a
Highland Springs, VA 23075-1146

Phone

(804) 828-2977

NPI assigned

Nov 29, 2006

Last updated

Aug 5, 2014By the provider in NPPES

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

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1790852770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W NINE MILE RD",
            "address_2": "SUIT A",
            "city": "HIGHLAND SPRINGS",
            "state": "VA",
            "postal_code": "230751146",
            "telephone_number": "804-828-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W NINE MILE RD",
            "address_2": "SUIT A",
            "city": "HIGHLAND SPRINGS",
            "state": "VA",
            "postal_code": "230751146",
            "telephone_number": "804-828-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL ANEZI",
        "first_name": "SHAMAN",
        "middle_name": "MESHAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Highland Springs, VA
• Providers in Highland Springs, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.