Anil Shah, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS039945 Issued in PA

Practice address

94 Parkview Cir
Wayne, PA 19087-4188

Phone

(201) 248-1286

NPI assigned

Apr 22, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Exton Kids Dental Corner

  • Pediatric Dentistry
  • Exton, PA
  • NPI 1750145868
  NPD Authorized official

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1043654098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 PARKVIEW CIR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874188",
            "telephone_number": "201-248-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 PARKVIEW CIR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874188",
            "telephone_number": "201-248-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02526900",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "10984",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS039945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Leigh Seltzer
• Kelly Ann Senkow, M.S. CCC-SLP
• Serenecompanion Human Services
• Todd Ian Serinsky, D.C.
• Seven Summits Therapy & Fitness LLC
• Sari S Shanken, P.T.
• Sarah Shannon, PT, DPT
• Hayley Shaver
• Courtney Shaw, OT
• Steven Louis Shelly, M.S., PH.D.

• Pediatric Dentistry in Wayne, PA
• Providers in Wayne, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.