Shamina Khanum, DENTIST
NPI 1053724120 · General Practice Dentistry · Jackson, MS
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shamina Khanum, DENTIST is a General Practice Dentistry provider in Jackson, MS (NPI 1053724120).
Provider details
- NPI number
- 1053724120
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DENTIST
- Sex
- Female
- Sole proprietor
- No
- License
- 4090-19 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-06-06
- Last updated
- 2025-01-15
- Certified
- 2023-01-17
Frequently asked questions
- What is Shamina Khanum's NPI number?
- Shamina Khanum's National Provider Identifier (NPI) is 1053724120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shamina Khanum's specialty?
- Shamina Khanum is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Shamina Khanum located?
- Shamina Khanum's practice location on file with NPPES is 3502 West Northside Drive, Jackson, MS 39213.
- What is Shamina Khanum's phone number?
- The practice phone number listed in the NPPES registry for Shamina Khanum is (601) 362-5321.
- Does Shamina Khanum accept Medicare?
- Shamina Khanum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shamina Khanum's NPI active?
- Yes — Shamina Khanum's NPI (1053724120) is active in the NPPES registry as of the last update on 2025-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.