Dhara K Shah

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02503500 Issued in NJ

Practice address

7 Cedar Grove LN Ste 33
Somerset, NJ 08873-1331

Phone

(732) 642-7670

NPI assigned

Aug 18, 2011

Last updated

Dec 29, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Destination Dental Care, LLC

  • Dental Clinic/Center
  • Somerset, NJ
  • NPI 1225509300
  NPD Authorized official

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1134409402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LN STE 33",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731331",
            "telephone_number": "732-642-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LN STE 33",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731331",
            "telephone_number": "732-642-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DHARA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039053",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010870",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02503500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeon Hoo Seong, PHARMD
• Jessica A Servon Montali, RD
• Patricia A Seuffert, APN
• Sarah Sexton, APN
• Bhavini Shah, PHARMD
• Esha Shah, MD
• Milly Shah, PTA
• Mitaben A. Shah, D.D.S.
• Naman B Shah
• Rajesh B Shah, B.S.

• Dentist in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2024; 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.