Active NPI
Shan Dental Services PLLC
- Public Health Dentistry
- Allen, TX
National Provider Identifier
1821875790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- Legal business name
- SHAN DENTAL SERVICES PLLC
- Practice address
- 2730 Country Club Rd
Allen, TX 75002-8780 - Phone
- (214) 586-9150
- NPI assigned
- Sep 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tabbaya Siddiqui Ahmed, DDS
- Title
- Owner
- Phone
- (214) 586-9150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | Primary |
Addresses
Primary practice location
2730 Country Club Rd
Allen, TX 75002-8780
Mailing address
1988 Verde CT
Allen, TX 75013-5691
Phone (214) 586-9150
Other names 1
- LoveJoy Dentistry
National Provider Directory
National Provider DirectoryLocations
2730 Country Club Rd
Lucas, TX 75002
Phone (214) 454-7377
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694649600000",
"number": "1821875790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1988 VERDE CT",
"city": "ALLEN",
"state": "TX",
"postal_code": "750135691",
"telephone_number": "214-586-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 COUNTRY CLUB RD",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028780",
"telephone_number": "214-586-9150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAN DENTAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "TABBAYA",
"authorized_official_middle_name": "SIDDIQUI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-586-9150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Dental Public Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LoveJoy Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.