Shayegan Shamsaie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009147 Issued in IN

Practice address

306 N Prince St
Princeton, IN 47670-1818

Phone

(812) 385-5272

Fax

(812) 385-4086

NPI assigned

Aug 2, 2006

Last updated

Aug 26, 2013By 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 IN

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

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.

• Gibson County Auditor

  dba Gibson County Health Department

  • State or Local Public Health Clinic/Center
  • Princeton, IN
  • NPI 1215095344
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1992712533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N PRINCE ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701818",
            "telephone_number": "812-385-5272",
            "fax_number": "812-385-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N PRINCE ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701818",
            "telephone_number": "812-385-5272",
            "fax_number": "812-385-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSAIE",
        "first_name": "SHAYEGAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wagih A Satar, M.D.
• Keith Allan Scheller, OTR
• Brent Schluessler
• Rachael Schmitt, PHARMD
• Thea Scott
• Brenda K Shaw
• Sherman Emergency Physicians LLC
• Amanda Sisco, MSW
• Jennifer Smith, APN FNP
• Stephanie Lynn Snodgrass, PT, DPT

• General Practice Dentistry in Princeton, IN
• Providers in Princeton, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.