Deven V Shroff, D.M.D., F.A.G.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

13090 Issued in MD

Practice address

10045 Baltimore National Pike
Suite a-1
Ellicott City, MD 21042-3673

Phone

(410) 203-2410

Fax

(410) 203-9227

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dshroff1350@direct.umm.edu

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154458974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SOUTHERN STAR TER",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445903",
            "telephone_number": "410-203-2410",
            "fax_number": "410-203-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 BALTIMORE NATIONAL PIKE",
            "address_2": "SUITE A-1",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423673",
            "telephone_number": "410-203-2410",
            "fax_number": "410-203-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROFF",
        "first_name": "DEVEN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.M.D., F.A.G.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "13090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shine Family Dentistry,LLC
• Shines LLC
• Jan Shipley
• Yevgeny Shirokobrod, DPT
• Sharon Shivers
• Samir Fahmi Shureih, M.D.
• Shirin Siahpoushan
• Andrew Panganoron Siason
• Charles Sicotte
• Zaynub Siddiqui

• Pediatric Dentistry in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.