Jeff Shu, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17069 Issued in MA

Practice address

221 Chelmsford St Ste 5
Chelmsford, MA 01824-2300

Phone

(978) 256-8012

Fax

(978) 250-8984

NPI assigned

Jan 16, 2007

Last updated

Nov 20, 2020By the provider in NPPES

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

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Friendly Dental Center, PC

  • Dentist
  • Chelmsford, MA
  • NPI 1699247304
  Authorized official Same address or phone

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1932250768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 CHELMSFORD ST",
            "address_2": "STE 5",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242300",
            "telephone_number": "978-256-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 CHELMSFORD ST STE 5",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242300",
            "telephone_number": "978-256-8012",
            "fax_number": "978-250-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHU",
        "first_name": "JEFF",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wu Shi, MD
• Wen-Chih Shih, PT
• Svetlana Shimberg, NP
• Jessica Ships, OD
• Rebecca C Shore, M.D.
• Daniel Shulman, BCBA
• Bryan G Shultz, LCSW
• Beshoy Ramses Sidhom, MD
• Karen W Siegel, MSW LICSW
• Ann Marie Sigdestad, LICSW

• General Practice Dentistry in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.