Individual provider Active NPI

Palwasha N Sherwani, DDS

  • Dentist
  • Stigler, OK
National Provider Identifier
1902863145
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5838 Issued in OK
Practice address
1407 NE D Street
Ste C
Stigler, OK 74462
Phone
(918) 967-3368
Fax
(918) 967-3351
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5838 OK Primary

Addresses

Primary practice location

1407 NE D Street
Ste C
Stigler, OK 74462

Mailing address

1407 NE D Street
Ste C
Stigler, OK 74462
Phone (918) 967-3368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160407001642 AR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6709184740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5838OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stigler Health and Wellness Center Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1902863145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 NE D STREET",
            "address_2": "STE C",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "74462",
            "telephone_number": "918-967-3368",
            "fax_number": "918-967-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 NE D STREET",
            "address_2": "STE C",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "74462",
            "telephone_number": "918-967-3368",
            "fax_number": "918-967-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWANI",
        "first_name": "PALWASHA",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stigler, OK

Sources for this page

Verify at the official NPI Registry.