Organization Active NPI

Shan Dental Services PLLC

  • Public Health Dentistry
  • Allen, TX
National Provider Identifier
1821875790
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
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

Updated by the provider on Sep 14, 2023

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)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.