Active NPI
Hardik Jayesh Shah, DDS
- Dentist
- Austin, TX
National Provider Identifier
1003590662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39639
- Practice address
- 9813 N Lamar Blvd
Austin, TX 78753-4113 - Phone
- (512) 593-4463
- NPI assigned
- Jun 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39639 | TX | Primary |
Addresses
Primary practice location
9813 N Lamar Blvd
Austin, TX 78753-4113
Mailing address
10608 Pluchea CV
Austin, TX 78733-5721
Phone (909) 751-5291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39639 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1003590662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10608 PLUCHEA CV",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787335721",
"telephone_number": "909-751-5291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9813 N LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787534113",
"telephone_number": "512-593-4463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "HARDIK",
"middle_name": "JAYESH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.