Active NPI
Krutika Shah
- Dentist
- Harrisburg, PA
National Provider Identifier
1043601628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS040479
- Practice address
- 3867 Union Deposit Rd
Harrisburg, PA 17109-5920 - Phone
- (717) 558-0042
- NPI assigned
- Feb 18, 2015
- Sex
- Female
- 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 | DS040479 | PA | Primary |
Addresses
Primary practice location
3867 Union Deposit Rd
Harrisburg, PA 17109-5920
Mailing address
1721 Ashley Hall Rd
N-1
Charleston, SC 29407-3834
Phone (551) 697-9272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160524000837 | PA | Order and Referring Only - Other (Physician) | 5496044893 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaaps Smiles PC | Dentist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Hummelstown, PA
- NPI 1932061975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1043601628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 ASHLEY HALL RD",
"address_2": "N-1",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294073834",
"telephone_number": "551-697-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3867 UNION DEPOSIT RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095920",
"telephone_number": "717-558-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KRUTIKA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-18",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS040479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.