Active NPI
Safa Noureen Shams Safa Mohd Shamshuddin, D.M.D
- Dentist
- Des Moines, IA
National Provider Identifier
1881104933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02691500
- Practice address
- 4730 SW 9TH St
Des Moines, IA 50315-3973 - Phone
- (515) 287-0011
- NPI assigned
- Oct 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02691500 | NJ | Primary |
Addresses
Primary practice location
4730 SW 9TH St
Des Moines, IA 50315-3973
Mailing address
935 Garfield Ave.
Jersey City, NJ 07304-2731
Phone (201) 478-5800
Other practice location 1
Rand Center for dentistry
191 US-206 #11
Flanders, NJ 07836
Phone (973) 370-8917
Other practice location 2
935 garfield Ave.
Jersey City, NJ 07304-2731
Phone (201) 478-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180315000006 | NJ | Order and Referring Only - Dentist | 0547522377 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02691500 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Iowa Dental PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Des Moines, IA
- NPI 1689108433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1881104933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 GARFIELD AVE.",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073042731",
"telephone_number": "201-478-5800",
"fax_number": "201-478-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 SW 9TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503153973",
"telephone_number": "515-287-0011"
}
],
"practiceLocations": [
{
"address_1": "Rand Center for dentistry",
"address_2": "191 US-206 #11",
"address_purpose": "LOCATION",
"city": "Flanders",
"state": "NJ",
"postal_code": "07836",
"country_code": "US",
"telephone_number": "973-370-8917",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "935 garfield Ave.",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073042731",
"country_code": "US",
"telephone_number": "201-478-5800",
"fax_number": "201-478-5814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAFA MOHD SHAMSHUDDIN",
"first_name": "SAFA NOUREEN SHAMS",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2022-10-06",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02691500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.