Shatha Bou Mechrek, BDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

38010 Issued in TX

Practice address

6080 Water St Apt 1507
Plano, TX 75024-0077

Phone

(904) 729-2866

NPI assigned

Sep 21, 2021

Last updated

Mar 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shatha Ammar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1861163842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 WATER ST APT 1507",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240077",
            "telephone_number": "904-729-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 WATER ST APT 1507",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240077",
            "telephone_number": "904-729-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOU MECHREK",
        "first_name": "SHATHA",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2023-03-02",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "38010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHATHA",
            "last_name": "AMMAR",
            "prefix": "DR.",
            "credential": "BDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caitlind Boshears
• Ronald E Bosher, D.D.S.
• Renato Victor Bosita, M.D.
• Nathan Gregory Bosque
• Bailey Bost
• Rami Bouajram, MD
• Sarah Boucher, PSYD
• Sarah Elizabeth Boucher, M.D.
• Angela Boudoin
• Paul Gerard Boulet

• Orthodontics and Dentofacial Orthopedics Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.