DR. SHESHABEN A SHAH (NPI# 1265925804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265925804 |
| Entity Type | Individual |
| Full Name | DR. SHESHABEN A SHAH |
| Credential | DDS |
| Practice Address |
4055 Lindell Blvd Saint Louis MO 63108-3201 |
| Mailing Address |
1327 Harbor Park Dr Memphis TN 38103-9030 |
| Practice Telephone | 3143677848 |
| Practice Fax Number | 3145350385 |
| Mailing Telephone | 9014883048 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2020-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2019004021 | MO | Dental Providers |
| Street Address |
4055 LINDELL BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578554820 | Tattamangalam Chandrika | Pediatrics | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2005-11-03 |
| 1275177974 | Nathaniel Scott Hansen | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2019-11-05 |
| 1225694672 | Byron Matthew Schroeder | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2019-05-10 |
| 1073015517 | Justin Vance Sorensen | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63018 | 2018-03-01 |
| 1588103840 | Kimberly Baptist | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2017-02-20 |
| 1841668688 | Betty Jean Kerr People's Health Centers | Clinic/Center | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2015-09-10 |
| 1487059721 | Ryan Goergen | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2014-10-29 |
| 1992138564 | Christopher L Baker | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2013-08-18 |
| 1619265907 | Elizabeth Susan Lansford | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2011-07-20 |
| 1902104862 | Andrew Michael Reff | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2011-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326670 | Amani Abdulateef | Dentist | 4016 Lemay Ferry Rd, Saint Louis, MO 63129-1858 | 2020-08-16 |
| 1043828627 | Tara Elizabeth Habibi | Dentist | 3422 Utah St Fl 2, Saint Louis, MO 63118-2727 | 2020-07-20 |
| 1548817448 | Lauren Elizabeth Kessinger | Dentist | 2821 N Ballas Rd Ste 160, Saint Louis, MO 63131-2376 | 2019-08-25 |
| 1275193229 | Ryan Michael Mulligan | Dentist | 621 S New Ballas Rd Ste 10a, Saint Louis, MO 63141-8239 | 2019-06-20 |
| 1962993246 | Todd J Wind Enterprises LLC | Dentist | 12818 Tesson Ferry Rd Ste 2o2, Saint Louis, MO 63128-2945 | 2018-05-23 |
| 1396274098 | Darren Cartwright, Dds, P.C. | Dentist | 9960 Kennerly Rd Ste B, Saint Louis, MO 63128-3075 | 2017-06-06 |
| 1962936765 | Alex Sharifian Dds Rock Hill Dentistry PC | Dentist | 9601 Manchester Rd, Saint Louis, MO 63119-1333 | 2017-04-18 |
| 1467983973 | Westport Dental LLC | Dentist | 77 W Port Plz, Suite No. 251, Saint Louis, MO 63146-3107 | 2017-03-26 |
| 1427506781 | Karim Allahdina | Dentist | 3331 Locust St, 301, Saint Louis, MO 63103-1154 | 2016-09-15 |
| 1508217480 | Kevin Charles Kaiser | Dentist | 3890 S Lindbergh Blvd Ste 115, Saint Louis, MO 63127-1391 | 2016-06-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.