Meriam Ihsan Shather, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15867 Issued in FL

Practice address

17901 NW 5TH St
Suite 206
Pembroke Pines, FL 33029-2810

Phone

(954) 430-2188

NPI assigned

Oct 14, 2007

Sex

Female

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

Enrolled in FL

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": "1192320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192320000000",
    "number": "1790973873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 SW 46TH AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428278",
            "telephone_number": "954-328-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 NW 5TH ST",
            "address_2": "SUITE 206",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292810",
            "telephone_number": "954-430-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATHER",
        "first_name": "MERIAM",
        "middle_name": "IHSAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-14",
        "last_updated": "2007-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khine Swe Shan, MD
• Richard Scott Shannon, PTA
• Jordan Harris Shapiro, D.M.D.
• Rohit Sharma, D.M.D.
• Zaineb Shatawi, MD
• Blane T Shatkin, MD
• Daniella N. Shaw, LCSW
• Jesse Shaw, DO
• Leslie G Shawn, DO
• Shazia Zafar MD LLC

• General Practice Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2007; 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.