Active NPI
Shadaan Aslam Rupani, DDS
- Dentist
- Edna, TX
National Provider Identifier
1831874544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39518
- Practice address
- 1006 N Wells St
Edna, TX 77957-2151 - Phone
- (361) 235-4226
- NPI assigned
- Jun 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39518 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 39518 | TX |
Addresses
Primary practice location
1006 N Wells St
Edna, TX 77957-2151
Mailing address
5242 Meadow Landing LN
Sugar Land, TX 77479-4293
Phone (832) 363-7269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39518 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1831874544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5242 MEADOW LANDING LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794293",
"telephone_number": "832-363-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 N WELLS ST",
"city": "EDNA",
"state": "TX",
"postal_code": "779572151",
"telephone_number": "361-235-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPANI",
"first_name": "SHADAAN",
"middle_name": "ASLAM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-20",
"last_updated": "2023-07-12",
"certification_date": "2023-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39518",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "39518",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edna, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.