Individual provider Active NPI

Meir Shamy, DDS

  • Dentist
  • Reseda, CA
National Provider Identifier
1912226903
Registry record updated May 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30284 Issued in CA
Practice address
6915 Reseda Blvd Unit 4
Reseda, CA 91335-4250
Phone
(818) 345-5000
Fax
(818) 345-4332
NPI assigned
May 31, 2010
Last updated
May 31, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30284 CA Primary

Addresses

Primary practice location

6915 Reseda Blvd Unit 4
Reseda, CA 91335-4250

Mailing address

6915 Reseda Blvd Unit 4
Reseda, CA 91335-4250
Phone (818) 345-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150804005726 CA Order and Referring Only - DentistPractitioner - Dentist 8426362401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1275264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275264000000",
    "number": "1912226903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 RESEDA BLVD UNIT 4",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354250",
            "telephone_number": "818-345-5000",
            "fax_number": "818-345-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 RESEDA BLVD UNIT 4",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354250",
            "telephone_number": "818-345-5000",
            "fax_number": "818-345-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMY",
        "first_name": "MEIR",
        "name_prefix": "Prof.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-31",
        "last_updated": "2010-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.