DR. SHADI KARAM HAIDAR (NPI# 1316425515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316425515 |
| Entity Type | Individual |
| Full Name | DR. SHADI KARAM HAIDAR |
| Credential | DMD |
| Practice Address |
95 Washington St Canton MA 02021-4006 |
| Mailing Address |
26 Desoto Rd West Roxbury MA 02132-6033 |
| Practice Telephone | 7818282600 |
| Practice Fax Number | 7818282619 |
| Mailing Telephone | 6172597027 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN1858127 | MA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26 Desoto Rd, West Roxbury, MA 021326033 | 6172597027 |
| Street Address |
95 WASHINGTON ST |
| City | CANTON |
| State | MA |
| Zip Code | 02021-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039017 | Richard Hemingway | Physical Therapist | 95 Washington St, Canton, MA 02021-4006 | 2005-11-02 |
| 1346787090 | Partners Urgent Care, LLC | Clinic/Center | 95 Washington St, Canton, MA 02021-4006 | 2017-01-19 |
| 1154770030 | Sandzhar Yusupov | Contractor | 95 Washington St, Ste #474, Canton, MA 02021-4006 | 2016-06-10 |
| 1194188292 | Samuel Wonil Chang | Pharmacist | 95 Washington St, Canton, MA 02021-4006 | 2016-04-05 |
| 1366803413 | Danielle M Smith | Physical Therapist | 95 Washington St, Canton, MA 02021 | 2016-03-17 |
| 1750741120 | Lauren Decouto | Pharmacist | 95 Washington St, Canton, MA 02021-4006 | 2016-02-29 |
| 1497110647 | Pinali Gandhi | Physical Therapist | 95 Washington St, Ste 462, Canton, MA 02021-4006 | 2015-12-15 |
| 1285040170 | Mansi Parikh | Physical Therapist | 95 Washington St, 462, Canton, MA 02021-4006 | 2014-07-11 |
| 1013323716 | Jessica Christine Lariviere | Physical Therapist | 95 Washington St, Ste 462, Canton, MA 02021-4006 | 2014-07-02 |
| 1174968523 | Edward Evans | Physical Therapist | 95 Washington St, Canton, MA 02021-4006 | 2013-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931331 | Faith Alpiche Felitto | Registered Nurse | 9 Bay Drive, Apt 113, Canton, MA 02021 | 2018-02-05 |
| 1184122103 | Mind Compass, LLC | Counselor | 45 Dan Road, C/o Workspace@45, Suite 19, Canton, MA 02021 | 2018-01-24 |
| 1861903353 | Daphnis Colin | Registered Nurse | 211 Bay Drive, Canton, MA 02021 | 2017-10-24 |
| 1245772276 | Rebecca Selenow | Counselor | 10 Emerson Rd, Canton, MA 02021 | 2016-11-08 |
| 1407398449 | Brightview Canton LLC | Alzheimer Center (Dementia Center) | 125 Turnpike Street, Canton, MA 02021 | 2016-11-08 |
| 1699144014 | Marguerite Hobbs | Social Worker | 55 Pecunit St, Canton, MA 02021 | 2015-09-15 |
| 1447662234 | Cornerstone At Canton Assisted Living LLC | Assisted Living Facility | 175 Revere Street, Canton, MA 02021 | 2014-05-28 |
| 1508100157 | Greystone Pain Management Inc | Psychiatry & Neurology | 21 Rockland St, Unit M, Canton, MA 02021 | 2012-11-20 |
| 1457678062 | Smile Designs Inc | Dentist | 95 Washington St # 480, Smile Designs Inc, Canton, MA 02021 | 2010-04-23 |
| 1114178803 | Jennifer Diana Marie Woodbury | Specialist/Technologist | 1 Whitman Road, Clarke School East, Canton, MA 02021 | 2008-10-01 |
| Find all providers in zip 02021 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760008361 | Portable Smiles Mobile Inc | Dentist | 519 Pinehurst Dr, Canton, MI 48188-3078 | 2020-06-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1669014403 | Flossed LLC | Dentist | 500 Chapman St Unit 201, Canton, MA 02021-2040 | 2019-10-14 |
| 1164078960 | Caleb Jonathon Fuller | Dentist | 46592 W Oak Manor Ct, Canton, MI 48187-5230 | 2019-08-16 |
| 1518527191 | Pediatric Dentistry | Dentist | 45535 Hanford Rd, Canton, MI 48187-4595 | 2019-06-17 |
| 1710546148 | Georgia Dental Professionals, PC | Dentist | 8022 Cumming Hwy, Canton, GA 30115-9337 | 2019-06-10 |
| 1891267316 | Canton Marketplace Dentistry LLC | Dentist | 1810 Cumming Hwy Ste 900, Canton, GA 30115-2999 | 2018-12-21 |
| 1548754252 | Ashvi Mittal | Dentist | 248 Taylors Farm Dr, Canton, GA 30115-9023 | 2018-06-15 |
| 1285127605 | Cameron Parker Demarsh | Dentist | 2414 Whipple Ave Nw, Canton, OH 44708-1514 | 2018-06-11 |
| 1184146318 | Cherokee Family Dental East Cherokee LLC | Dentist | 7768 Cumming Hwy Ste 100, Canton, GA 30115-2982 | 2017-07-10 |
| Find all providers in CANTON | ||||
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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.