Active NPI
Rahul Shah, DMD
- General Practice Dentistry
- Florence, KY
National Provider Identifier
1083229124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-00067
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12013688A | IN | MD | Dentist |
| D-00067 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpoint Family Care, Inc. | Current | Accepting new patients | |
| Healthpoint Family Care Inc | Current | Accepting new patients | |
| Maple City Health Care Center, Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Newport, KY
- NPI 1508889742
-
- Federally Qualified Health Center (FQHC)
- Wilmore, KY
- NPI 1689419608
-
- Federally Qualified Health Center (FQHC)
- Goshen, IN
- NPI 1588209142
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.