Individual provider Active NPI

Shafa Nathani, DMD

  • Dentist
  • Conroe, TX
National Provider Identifier
1174351696
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40722 Issued in TX
Practice address
9442 Highway 242
Conroe, TX 77385-4340
Phone
(936) 286-6390
NPI assigned
Jul 25, 2024
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40722 TX Primary

Addresses

Primary practice location

9442 Highway 242
Conroe, TX 77385-4340

Mailing address

2727 Albany St Apt 603
Houston, TX 77006-1581

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

LicenseStateTypeSpecialty
40722TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Associates of Texas, PC CurrentSince Jul 28, 2024 Accepting new patients

Locations

9442 Highway 242
Conroe, TX 77385
Phone (936) 286-6390

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1174351696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 ALBANY ST APT 603",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9442 HIGHWAY 242",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773854340",
            "telephone_number": "936-286-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHANI",
        "first_name": "SHAFA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.