Individual provider Active NPI

Husnain Shahid, DDS

  • General Practice Dentistry
  • Mt Pleasant, TX
National Provider Identifier
1871154534
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35164 Issued in TX
Practice address
204 W 19TH St
Mt Pleasant, TX 75455-2320
Phone
(903) 305-8750
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35164 TX Primary

Addresses

Primary practice location

204 W 19TH St
Mt Pleasant, TX 75455-2320

Mailing address

244 Kathryns CT
Mt Pleasant, TX 75455-6709
Phone (903) 305-8750

Other practice location 1

607 Ray Jacobs Ave
Omaha, TX 75571-4142
Phone (903) 884-2321

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

LicenseStateTypeSpecialty
35164TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shahid Dental Group Gladewater, PLLC CurrentSince Jul 24, 2022 Accepting new patients
Shahid Dental Group Satellite, PLLC CurrentSince Feb 8, 2023 Accepting new patients
Shahid Dental Group, PLLC PastSince Jan 24, 2021 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871154534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 KATHRYNS CT",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754556709",
            "telephone_number": "903-305-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W 19TH ST",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552320",
            "telephone_number": "903-305-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Ray Jacobs Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "TX",
            "postal_code": "755714142",
            "country_code": "US",
            "telephone_number": "903-884-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "HUSNAIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.