Dhaval Haresh Shah, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859236 Issued in MA

Practice address

11 Bay State CT
Brewster, MA 02631-2120

Phone

(508) 255-0111

NPI assigned

Oct 22, 2021

Sex

Male

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

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.

• Massachusetts Dental Professionals, P.C.

  • General Practice Dentistry
  • Brewster, MA
  • NPI 1336394006
  NPD (past)
• South Shore Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Quincy, MA
  • NPI 1770528317
  NPD (past)

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1073277463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WINDEMERE WAY",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971529",
            "telephone_number": "516-404-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BAY STATE CT",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312120",
            "telephone_number": "508-255-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DHAVAL",
        "middle_name": "HARESH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilderness Sarchild, M.A.
• Colleen E Sari, MD
• Edward J Sayer, PSY.D.
• Sue Ellen Schwam, LICSW
• Barbara Pierce Segal, L.M.H.C.
• Christin Sims
• Michael B Singleton, DC
• Brian Rethjen Skea, M.E'D. PHD
• Dianna Lee Smith, MSW
• Jeffrey Sargent Smith, LMHC, LMFT

• Dentist in Brewster, MA
• Providers in Brewster, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.