Bashar A Shehadeh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN03212 Issued in RI

Practice address

121 Sandy Bottom Rd
Coventry, RI 02816-5865

Phone

(401) 822-3352

NPI assigned

Apr 8, 2014

Last updated

Apr 8, 2014By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Premier Care Dentistry of Rhode Island LLC

  dba Eric George DMD & Associates

  • Dentist
  • Coventry, RI
  • NPI 1780323618
  NPD (past)

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1932528866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AUDUBON LN",
            "city": "HOPE",
            "state": "RI",
            "postal_code": "028311627",
            "telephone_number": "401-573-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SANDY BOTTOM RD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165865",
            "telephone_number": "401-822-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHADEH",
        "first_name": "BASHAR",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Schwager, M.D.
• Kristen Alicia Seaman, LMHC, LCDP
• Naveed Hussain Shah, MD
• Lynn Ann Shea, RPH, CDOE, CVDOE
• Michelle Shea
• Shoreline Hope & Counseling, LLC
• Nicole A Silver, M.S.
• Rebecca Simon, MS, OTR/L
• Caren Skurka, OTR
• Julia Sliwkowski

• General Practice Dentistry in Coventry, RI
• Providers in Coventry, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.