Mohamed Amer Shafter

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

3984-18 Issued in MS

Practice address

875 Union Ave FL 5
Memphis, TN 38103-3513

Phone

(857) 236-1574

NPI assigned

May 4, 2018

Last updated

May 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1881183960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 UNION AVE FL 5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033513",
            "telephone_number": "857-236-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 UNION AVE FL 5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033513",
            "telephone_number": "857-236-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFTER",
        "first_name": "MOHAMED",
        "middle_name": "AMER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MS",
            "license": "3984-18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
            "identifier": "STAS00461895",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "STAS00461895",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Shackelford, BS
• Betty Duke Shadish, LCSW
• Amanda Lee Shaffer, M.S. OTR/L
• Nadeem I Shafi, MD
• Rehan Shafique, M.D.
• Anant Shah, MD
• Binoy Shah
• Dhaval S Shah, MD
• Kinjal Sunilkumar Shah, M.D.
• Namrata Samir Shah, M.D.

• Prosthodontics in Memphis, TN
• Providers in Memphis, TN by specialty
• Prosthodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.