Mohegan Lake Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0556901 Issued in NY

Legal business name

MOHEGAN LAKE DENTAL PC

Practice address

1719 E Main St
Mohegan Lake, NY 10547-1356

Phone

(914) 528-2191

Fax

(914) 743-1579

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ojas V. Shah, DDSNPI 1447530969

Title

Owner/President

Phone

(914) 310-1609

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ojas V Shah, D.D.S.

  • General Practice Dentistry
  • Mohegan Lake, NY
  • NPI 1447530969
  NPD (past) Authorized official

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1164974853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 E MAIN ST",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471356",
            "telephone_number": "914-528-2191",
            "fax_number": "914-743-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 E MAIN ST",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471356",
            "telephone_number": "914-528-2191",
            "fax_number": "914-743-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHEGAN LAKE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "OJAS",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "914-310-1609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "0556901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Messenger, R.N.
• Nicole Mingoia
• Morgan Mitchell, OD
• Salim Mizher
• Mobile Cardiovascular Systems, Inc.
• Mohegan Volunteer Fire Association Volunteer Ambulance Corps Inc
• Vanessa T Mojica
• Daniella Elyse Montalto, M.A., CCC-SLP
• Rachel Anne Moody, NP
• Ellen G Most

• Dental Clinic/Center in Mohegan Lake, NY
• Providers in Mohegan Lake, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.