Shammaa Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3192 Issued in WV

Legal business name

SHAMMAA ORTHODONTICS

Practice address

417 Grand Park Dr Ste 107
Parkersburg, WV 26105-4063

Phone

(304) 720-7771

Fax

(304) 925-4259

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Imad Shammaa, DMD MS

Title

Owner

Phone

(304) 925-4258

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1871025429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 GRAND PARK DR STE 107",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054063",
            "telephone_number": "304-720-7771",
            "fax_number": "304-925-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 GRAND PARK DR STE 107",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054063",
            "telephone_number": "304-720-7771",
            "fax_number": "304-925-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMMAA ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "SHAMMAA",
        "authorized_official_first_name": "IMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-925-4258",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WV",
            "license": "3192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077946000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nik M Shah, MD
• Niket K Shah, D.O.
• Michael Hall Shahan, DDS
• Samantha Shaklee, CRISIS SPECIALIST
• Sherry M Shamblin
• Terrance Huntar Shank, PA-C
• Terry C Shank, MD
• Sherri Lynn Shannon
• Swaroopa Sharma
• Jasmine Sharp

• Orthodontics and Dentofacial Orthopedics Dentistry in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.