Active NPI
Maria Yunis Shahdad, D.D.S
- Dentist
- Allen, TX
National Provider Identifier
1881848463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27499
- Practice address
- 2023 W McDermott Drive , Suite 140
Allen, TX 75013-4677 - Phone
- (972) 727-8100
- Fax
- (972) 649-6411
- NPI assigned
- Nov 10, 2008
- 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 | 27499 | TX | Primary |
Addresses
Primary practice location
2023 W McDermott Drive , Suite 140
Allen, TX 75013-4677
Mailing address
2023 W McDermott Drive , Suite 140
Allen, TX 75013-4677
Phone (972) 727-8100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27499 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fulbright Dental Group, PC | 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.
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1336384619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1881848463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 W MCDERMOTT DRIVE , SUITE 140",
"city": "ALLEN",
"state": "TX",
"postal_code": "750134677",
"telephone_number": "972-727-8100",
"fax_number": "972-649-6411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 W MCDERMOTT DRIVE , SUITE 140",
"city": "ALLEN",
"state": "TX",
"postal_code": "750134677",
"telephone_number": "972-727-8100",
"fax_number": "972-649-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHDAD",
"first_name": "MARIA",
"middle_name": "YUNIS",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-10",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.