Active NPI
Shivani Shirgavi, D.M.D.
- Dentist
- Brockton, MA
National Provider Identifier
1134596745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1857064
- Practice address
- 70 Westgate Dr
Brockton, MA 02301-1811 - Phone
- (508) 872-3325
- NPI assigned
- Aug 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857064 | MA | Primary |
Addresses
Primary practice location
70 Westgate Dr
Brockton, MA 02301-1811
Mailing address
200 Falls Blvd Unit A104
Quincy, MA 02169-8145
Phone (302) 290-4877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857064 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1134596745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 FALLS BLVD UNIT A104",
"city": "QUINCY",
"state": "MA",
"postal_code": "021698145",
"telephone_number": "302-290-4877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 WESTGATE DR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011811",
"telephone_number": "508-872-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRGAVI",
"first_name": "SHIVANI",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.