Active NPI
Dhwanil Shah
- Dentist
- Savanna, IL
National Provider Identifier
1144059239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.037272
- Practice address
- 401 Main St
Savanna, IL 61074-1535 - Phone
- (815) 367-6430
- NPI assigned
- Jul 29, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.037272 | IL | Primary |
Addresses
Primary practice location
401 Main St
Savanna, IL 61074-1535
Mailing address
17-148 Edgewater Dr
Lanark, IL 61046-9366
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1144059239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17-148 EDGEWATER DR",
"city": "LANARK",
"state": "IL",
"postal_code": "610469366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MAIN ST",
"city": "SAVANNA",
"state": "IL",
"postal_code": "610741535",
"telephone_number": "815-367-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "DHWANIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-29",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.037272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savanna, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.