Individual provider Active NPI

Syed Yusuf Shere, DDS, MS

  • Periodontics
  • Houston, TX
National Provider Identifier
1851589204
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
19749 Issued in TX
Practice address
902 Frostwood Dr Ste 203
Houston, TX 77024-2402
Phone
(713) 464-2792
Fax
(713) 464-4541
NPI assigned
Oct 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 19749 TX Primary

Addresses

Primary practice location

902 Frostwood Dr Ste 203
Houston, TX 77024-2402

Mailing address

902 Frostwood Dr Ste 203
Houston, TX 77024-2402
Phone (713) 464-2792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140319002023 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1658502448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19749TXMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1851589204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242402",
            "telephone_number": "713-464-2792",
            "fax_number": "713-464-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242402",
            "telephone_number": "713-464-2792",
            "fax_number": "713-464-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERE",
        "first_name": "SYED",
        "middle_name": "YUSUF",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "19749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.