Individual provider Active NPI

Ahmed Shehab-Eldin, DDS

  • Endodontics
  • Houston, TX
National Provider Identifier
1972910826
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0030221 Issued in TX
Practice address
3104 Edloe St Ste 330
Houston, TX 77027-6038
Phone
(713) 626-8343
NPI assigned
Jul 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 0030221 TX Primary

Addresses

Primary practice location

3104 Edloe St Ste 330
Houston, TX 77027-6038

Mailing address

3104 Edloe St Ste 330
Houston, TX 77027-6038
Phone (713) 626-8343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170403000788 TX Order and Referring Only - DentistPractitioner - Dentist 3779868849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0030221TXMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1972910826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 EDLOE ST STE 330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276038",
            "telephone_number": "713-626-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 EDLOE ST STE 330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276038",
            "telephone_number": "713-626-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHAB-ELDIN",
        "first_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "0030221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.