Edward Assad Shamieh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2012019903 Issued in MO

Practice address

4980 Roe Blvd
Roeland Park, KS 66205-1110

Phone

(913) 355-0000

NPI assigned

Jun 24, 2012

Last updated

Aug 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kansas Dental Elements LLC

  • Dental Clinic/Center
  • Shawnee, KS
  • NPI 1447602792
  NPD (past)

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1861755837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 FONTANA DR",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662053133",
            "telephone_number": "646-724-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 ROE BLVD",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662051110",
            "telephone_number": "913-355-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 Main St",
            "address_purpose": "LOCATION",
            "city": "Wellsville",
            "state": "KS",
            "postal_code": "660929201",
            "country_code": "US",
            "telephone_number": "785-883-2117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11912 Shawnee Mission Pkwy",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662161865",
            "country_code": "US",
            "telephone_number": "913-383-0440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2037 SE 29th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666052457",
            "country_code": "US",
            "telephone_number": "855-901-6940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 State Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661023734",
            "country_code": "US",
            "telephone_number": "913-287-7977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4015 Frederick Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063156",
            "country_code": "US",
            "telephone_number": "913-605-3328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 NE Vivion Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641184510",
            "country_code": "US",
            "telephone_number": "816-459-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13018 State Line Rd",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662091756",
            "country_code": "US",
            "telephone_number": "913-498-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMIEH",
        "first_name": "EDWARD",
        "middle_name": "ASSAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-24",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2012019903",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61519",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2012019903",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSEE NUMBER",
            "identifier": "2012019903",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSEE NUMBER",
            "identifier": "61519",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ulises Rojas, PHARM.D
• Kyle P Roste, LSCSW
• Jessica Roux, MD
• Danielle C Schrick, PA
• Scouter Medical, Inc.
• Ena Katherine Shartzer, CRT
• Shawnee Mission Medical Center, Inc. (AdventHealth Imaging Center Roeland Park)
• Alisa Sheremeta, OTR
• Anna Laurel Short, ARNP
• Katie Leigh Smith, LPC

• Dentist in Roeland Park, KS
• Providers in Roeland Park, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; 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.