Samyak Shashikant Shah

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00205693 Issued in CO

Practice address

1790 E Bridge St
Brighton, CO 80601-1934

Phone

(303) 659-1064

NPI assigned

Apr 13, 2022

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)

Enrolled

State licenses

Practice roles

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.

• O and a Dental and Braces at Brighton PLLC

  • Dentist
  • Brighton, CO
  • NPI 1174014963
  NPD (past)

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1194467639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-925-4031",
            "fax_number": "505-925-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806011934",
            "telephone_number": "303-659-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAMYAK",
        "middle_name": "SHASHIKANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-13",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00205693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lou Joseph Schneggenburger, PA-C
• SCL Health Front Range Inc (LMG Psychology PVB)
• Rose-Angela Mekkin Scrivner, P.T., D.P.T.
• Tazia Seiden, OD
• Samita Shah, PA-C
• Stephan W Shane, D.O.
• Austin Kenneth Sharp
• Jill Sharp, LCSW
• Heidi Lynn Sharpnack, RN
• Shaviz Agency LLC

• General Practice Dentistry in Brighton, CO
• Providers in Brighton, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.