DR. SHAMSA F KHAN (NPI# 1568940963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568940963 |
| Entity Type | Individual |
| Full Name | DR. SHAMSA F KHAN |
| Credential | DMD |
| Practice Address |
1005 E Lasalle Ave South Bend IN 46617 |
| Mailing Address |
1005 E Lasalle Ave South Bend IN 46617-2879 |
| Practice Telephone | 5743677000 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12013012A | IN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1005 E Lasalle Ave, South Bend, IN 46617 | 5743677000 | |
| 417 Spring Lake Blvd Apt 913, Granger, IN 465304913 | 6306159074 | |
| 170 Grape Rd, Mishawaka, IN 46545 | 5747030479 |
| Street Address |
1005 E LASALLE AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083645774 | Charles Rosenbaum | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2006-07-05 |
| 1578123360 | Joseph Vincent Cellini | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2019-06-14 |
| 1669958674 | Fadi A Elayyan | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2018-07-12 |
| 1902395668 | Matthew Joseph Bernard | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2018-05-08 |
| 1427495340 | Lauren Elizabeth Alavanja | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617 | 2013-06-01 |
| 1144243932 | Ronald Stangebye | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2006-07-25 |
| 1588684997 | James Preisch | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2006-07-20 |
| 1134148349 | Thomas Pedavoli | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2006-07-19 |
| 1588683791 | Theresa Alexander | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2006-07-19 |
| 1689693806 | Lisa Strieter | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| 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 |
|---|---|---|---|---|
| 1023615796 | Himabindu Gogeneni | Dentist | 3575 Portage Ave Ste A, South Bend, IN 46628-6092 | 2020-10-06 |
| 1699241216 | Candace Jane Rich | Dentist | 220 Dean Johnson Blvd Rm 184, South Bend, IN 46601-3415 | 2018-10-22 |
| 1811325665 | Dennis Lee Carter | Dentist | 53360 Crestview Dr, South Bend, IN 46635-1354 | 2013-10-14 |
| 1598034894 | Klopenstine Family Dentistry PC | Dentist | 52120 State Road 933, South Bend, IN 46637-3846 | 2011-12-16 |
| 1730480898 | David Allan Varner | Dentist | 1902 E Ireland Rd, South Bend, IN 46614-2863 | 2010-11-05 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1265693634 | Thomas Gene Magnuson | Dentist | 4550 S Ironwood Dr, South Bend, IN 46614-9595 | 2008-06-18 |
| 1427259175 | Nicole Lambert Hurcomb | Dentist | 51584 State Road 933, South Bend, IN 46637-1704 | 2007-05-30 |
| 1609092170 | Jennifer Roberts | Dentist | 1605 N Ironwood Dr, South Bend, IN 46635-1843 | 2007-04-17 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on DR. SHAMSA F KHAN.
| 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.