Shaik Sheezan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.034315 Issued in IL

Practice address

415 Locust St
Sterling, IL 61081-3511

Phone

(815) 625-0044

NPI assigned

Jun 8, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1881388031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 RIVERSIDE CIR",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212645",
            "telephone_number": "331-425-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 LOCUST ST",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610813511",
            "telephone_number": "815-625-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEZAN",
        "first_name": "SHAIK",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Serrano
• Bradley J Setchell, DC
• Hasmukh P Shah, M.D.
• Starr Shamp, LPC
• William E Shaw Jr., PA-C
• Verna Lee Sheffler
• Janda Kaye Sheimo
• Nicole Shepard
• Autumn Ruby Shomaker
• Samantha Shuman, RBT

• General Practice Dentistry in Sterling, IL
• Providers in Sterling, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.