Shalini Mittal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

38304 Issued in TX

Practice address

1468 E Whitestone Blvd Ste 500
Cedar Park, TX 78613-0019

Phone

(612) 584-7767

NPI assigned

Jul 12, 2018

Last updated

Oct 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Group Health, Inc.

  dba HealthPartners Medical Group

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683
  Medicare reassignment NPD
• Group Health, Inc.

  dba HealthPartners Blaine Dental Clinic

  • General Practice Dentistry
  • Blaine, MN
  • NPI 1699829697
  NPD
• Group Health, Inc.

  dba HealthPartners Midway Residency Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD
• Blaine Dentistry, PC

  dba Blaine Dentistry

  • General Practice Dentistry
  • Blaine, MN
  • NPI 1982007803
  NPD (past)

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1104302124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 KRAMER LN APT 5091",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787580073",
            "telephone_number": "612-584-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 E WHITESTONE BLVD STE 500",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786130019",
            "telephone_number": "612-584-7767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 Utica Ave S Ste 100",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "55416",
            "country_code": "US",
            "telephone_number": "952-541-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1384 109th Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554344543",
            "country_code": "US",
            "telephone_number": "763-757-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "531 Maryland Ave NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20002",
            "country_code": "US",
            "telephone_number": "202-470-5873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "SHALINI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "14131",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38304",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Beth Ming Ulloa, DC
• Vanessa Tran Minnick, O.D.
• James Gordon Minto Jr., MSW, LCSW
• Kyla Mione, LPC
• Ketakumari Mistry, PHARM. D. R.PH.
• Joda Kay Miura, LCSW
• Lori D Mock-Blair, PA-C
• Virginia Jane Mock, O.D.
• Alyssa Lee Moffitt, OTR
• Javier Molina, RPH

• Dentist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.