Shazia Shahid Malik, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 17676 Issued in FL

Practice address

27006 Fordham Dr
Wesley Chapel, FL 33543-8730

Phone

(813) 907-5924

Fax

(813) 633-9733

NPI assigned

Oct 16, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evershine Dental Care,LLC

  • Dental Clinic/Center
  • Ruskin, FL
  • NPI 1669145744
  NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811077621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27006 FORDHAM DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335438730",
            "telephone_number": "813-907-5924",
            "fax_number": "813-633-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27006 FORDHAM DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335438730",
            "telephone_number": "813-907-5924",
            "fax_number": "813-633-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "SHAZIA",
        "middle_name": "SHAHID",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 17676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roaa Abdulsalam Mahmood
• Mai Vo & Associates LLC
• Katrina Maier
• Shanel Abigail Makawa
• Geetu Makin, NUTRITIONIST
• Morgan Malloy, DO
• Yana Maly, FNP-C
• Desiree Mance, PHARMD
• Karrissa Manchester
• Carolyn Joanne Mancuso, B.S., BCABA

• General Practice Dentistry in Wesley Chapel, FL
• Providers in Wesley Chapel, 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 Jul 8, 2007; 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.