Shamina Khanum, DENTIST
General Practice Dentistry · Jackson, MS
Shamina Khanum, DENTIST is a general practice dentistry with a practice address in Jackson, Mississippi, and NPI 1053724120, issued on Jun 6, 2014. Check the license (Mississippi 4090-19, as entered in NPPES) with the Mississippi board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Shamina Khanum
- Credential
- DENTIST
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- 4090-19 MS
Self-reported in NPPES; status is on the state search - Practice location
- 3502 West Northside Drive, Jackson, MS 39213
- Phone
- (601) 362-5321
- Enumerated
- Jun 6, 2014
- Record last updated
- Jan 15, 2025
- Fax
- (601) 364-2600
- Medicare enrollment
- Enrolled (PECOS I20251028000029); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 845 in Mississippi → Look up another NPI →
Verify Shamina Khanum in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license 4090-19Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Shamina Khanum among 845 general practice dentistry records in Mississippi
Shamina Khanum, DENTIST is one of 845 general practice dentistry records with a practice address in Mississippi. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2014, is newer than 71% of them.
- NPI issued2014 · 71% of these records are older, 28% newer
- In a Medicare fileNo · 70% of these records are
- In the CMS Doctors and Clinicians fileYes · under 1% of these records are
- Record last updated2025 · 74% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
90 general practice dentistry records list a practice address in Jackson
They are 90 of the 6,997 NPPES records with a practice address in Jackson, and 845 general practice dentistry records in Mississippi. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 845 in Mississippi → Every provider in Jackson → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- Melissa BradleyJackson, MS 392131619350915
- Kevin Nelson, DMDJackson, MS 392131699978932
- Alicia Rose, D.M.D.Jackson, MS 392131225259104
- Kimberly Wade, D.M.D.Jackson, MS 392131245533975
- John Gillespie, DMDJackson, MS 392121164636205
- Lamar Knight, DDSJackson, MS 392121225143746
- Patrice Griffith, DMDJackson, MS 392111942730429
- Anne Howell, DMDJackson, MS 392111457107393
Common questions
What is Shamina Khanum, DENTIST's NPI number?
Shamina Khanum, DENTIST's National Provider Identifier (NPI) is 1053724120, issued on Jun 6, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Shamina Khanum, DENTIST located?
The NPPES record lists a practice address at 3502 West Northside Drive, Jackson, MS, 39213. Phone: (601) 362-5321. Providers update this record themselves, so call before visiting.
How can I verify Shamina Khanum, DENTIST's license?
NPPES lists Mississippi license number 4090-19, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.