Shalini Bahl MD LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SHALINI BAHL MD LLC

Doing business as

ACE Dermatology, Laser and Cosmetic

Practice address

8363 Yankee St
Dayton, OH 45458-1809

Phone

(937) 885-4412

Fax

(937) 977-1705

NPI assigned

Jan 16, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shalini Bahl, MDNPI 1285689976

Title

Owner

Phone

(937) 284-2536

Specialties & licenses 1

Addresses

Other names 1

• ACE Dermatology, Laser and Cosmetic Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shalini Bahl, MD

  • Dermatology Physician
  • Dayton, OH
  • NPI 1285689976
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1033683776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 STAY LIT CT",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453058981",
            "telephone_number": "937-284-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8363 YANKEE ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581809",
            "telephone_number": "937-885-4412",
            "fax_number": "937-977-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALINI BAHL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "BAHL",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-284-2536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACE Dermatology, Laser and Cosmetic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACE Dermatology, Laser and Cosmetic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.