Individual provider Active NPI

Shalini Nagelli, DMD

  • Dentist
  • Frisco, TX
National Provider Identifier
1063968303
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019030762 Issued in IL
Practice address
2115 University Dr Ste 210
Frisco, TX 75033-4801
Phone
(314) 397-8041
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019030762 IL Primary
General Practice Dentistry 1223G0001X 37157 TX

Addresses

Primary practice location

2115 University Dr Ste 210
Frisco, TX 75033-4801

Mailing address

2115 University Dr Ste 210
Frisco, TX 75033-4801
Phone (314) 397-8041

Other practice location 1

903 S Ashland Ave Apt 610B
Chicago, IL 60607-4099
Phone (314) 397-8041

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

LicenseStateTypeSpecialty
37157TXMDClinical Psychologist
019030762ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
S & S Dental P.C. CurrentSince Apr 27, 2025 Accepting new patients

Locations

2115 University Dr
Ste 210
Frisco, TX 75033
Phone (314) 397-8041

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.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1063968303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 UNIVERSITY DR STE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334801",
            "telephone_number": "314-397-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 UNIVERSITY DR STE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334801",
            "telephone_number": "314-397-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 S Ashland Ave Apt 610B",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606074099",
            "country_code": "US",
            "telephone_number": "314-397-8041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGELLI",
        "first_name": "SHALINI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030762",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.