Jyoti R. Shah, DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12010068 Issued in IN

Legal business name

JYOTI R. SHAH, DDS INC

Doing business as

The Smile Center

Practice address

7526 E 82ND St Ste 110
Indianapolis, IN 46256-1462

Phone

(317) 915-0787

Fax

(866) 941-4941

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jyoti R Shah, D.D.S.

Title

President/Dentist

Phone

(317) 915-0787

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Smile Center Doing business as

Locations

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1164803235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7526 E 82ND ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561462",
            "telephone_number": "317-915-0787",
            "fax_number": "866-941-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7526 E 82ND ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561462",
            "telephone_number": "317-915-0787",
            "fax_number": "866-941-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYOTI R. SHAH, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "317-915-0787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12010068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200206200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Justice
• Michael Justiss
• Rhonda Justus
• Simran K Jutla, MD
• Jenna Jwayyed, MD
• Amy JZ, MD
• K & K Loving Senior Care
• K Dominion Transportation Services
• K Donald Shelbourne MD LLC
• K.J Medical Transportation LLC

• Dental Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.