Individual provider Active NPI

Rahul Shah, DMD

  • General Practice Dentistry
  • Florence, KY
National Provider Identifier
1083229124
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-00067 Issued in KY
Practice address
7607 Dixie Hwy
Florence, KY 41042-2644
Phone
(859) 655-6100
Fax
(859) 282-8611
NPI assigned
Sep 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-00067 KY Primary
Dentist 122300000X 12013688A IN

Addresses

Primary practice location

7607 Dixie Hwy
Florence, KY 41042-2644

Mailing address

215 E 11TH St
Newport, KY 41071-2203
Phone (859) 655-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260217002850 KY Practitioner - Dentist 9335629443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Nova Southeastern Univ College of Dental Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

215 E 11TH St
Newport, KY 41071-2203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12013688AINMDDentist
D-00067KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Family Care, Inc. CurrentSince Feb 5, 2026 Accepting new patients
Healthpoint Family Care Inc CurrentSince Feb 5, 2026 Accepting new patients
Maple City Health Care Center, Inc CurrentSince Jan 29, 2023 Accepting new patients

Locations

814 N 3rd St
Goshen, IN 46528
Phone (574) 500-3737

1401 Madison Ave
Covington, KY 41011
Phone (606) 655-8034

7607 Dixie Hwy
Florence, KY 41042

215 E 11th St
Newport, KY 41071

Organizations & group practices 3

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1083229124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 11TH ST",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712203",
            "telephone_number": "859-655-6100",
            "fax_number": "859-655-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422644",
            "telephone_number": "859-655-6100",
            "fax_number": "859-282-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAHUL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "D-00067",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013688A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.