Adrienne Anson Shah, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901601999 Issued in MI

Practice address

43025 W 12 Mile Rd
Novi, MI 48377-3012

Phone

(248) 478-3232

NPI assigned

Jun 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Rastogi and Maxwell PLLC

  • Pediatric Dentistry
  • Novi, MI
  • NPI 1588908917
  NPD
• Hazle Maxwell Rastogi PLLC

  • Pediatric Dentistry
  • Brighton, MI
  • NPI 1194656355
  NPD (past)

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1053005678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 W KENILWORTH AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673262",
            "telephone_number": "616-843-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43025 W 12 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773012",
            "telephone_number": "248-478-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ADRIENNE",
        "middle_name": "ANSON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901601999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Shadd-Patterson
• Riley Shaeffer
• Kelsey Shafer, DPT
• Donald Shaffer, PA-C
• Shah & Velilla DDS PC
• Sanjiv Kirtikant Shah, DDS
• Sejal Shah, PHARMD
• Asha Shajahan, M.D.
• Dominique Shakey
• Coleen Shaltry

• Pediatric Dentistry in Novi, MI
• Providers in Novi, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.