Individual provider Active NPI

Shariq Baqai, DDS

  • General Practice Dentistry
  • Hagerstown, MD
National Provider Identifier
1831295872
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14395 Issued in MD
Practice address
1303 Pennsylvania Ave
Hagerstown, MD 21742-3107
Phone
(301) 200-9585
Fax
(301) 200-9585
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14395 MD Primary

Addresses

Primary practice location

1303 Pennsylvania Ave
Hagerstown, MD 21742-3107

Mailing address

1303 Pennsylvania Ave
Hagerstown, MD 21742-3107
Phone (301) 200-9585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20251031003063 MD Practitioner - Dentist 8527557214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
New York University College of Dentistry, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1303 Pennsylvania Ave
Hagerstown, MD 21742-3107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14395MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hagerstown Dentist LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1303 Pennsylvania Ave
Hagerstown, MD 21742
Phone (301) 200-9585

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1831295872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423107",
            "telephone_number": "301-200-9585",
            "fax_number": "301-200-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423107",
            "telephone_number": "301-200-9585",
            "fax_number": "301-200-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAQAI",
        "first_name": "SHARIQ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.