Viraj V Shah, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018711 Issued in MI

Practice address

4151 17 Mile Rd Ste E
Sterling Heights, MI 48310-6866

Phone

(586) 977-0300

Fax

(586) 977-0302

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Creative Dentistry of Livonia PLLC

  • Dentist
  • Livonia, MI
  • NPI 1376126185
  NPD Authorized official
• Viraj Shah PLLC

  • Dental Clinic/Center
  • Sterling Heights, MI
  • NPI 1215675269
  NPD
• Baig Dental Group, P.C.

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1710039383
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1194770628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 17 MILE RD STE E",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106866",
            "telephone_number": "586-977-0300",
            "fax_number": "586-977-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 17 MILE RD STE E",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106866",
            "telephone_number": "586-977-0300",
            "fax_number": "586-977-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12871 E Jefferson Ave",
            "address_2": "Ste. C",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482152754",
            "country_code": "US",
            "telephone_number": "313-822-4200",
            "fax_number": "313-822-0944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIRAJ",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY",
            "identifier": "2901018711",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@myintegritydental.com",
            "affiliation": "N",
            "address_1": "4151 17 Mile Rd Ste E",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483106866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chintan Shah, RPT
• Dhaval Shah, PHARM D
• Dhruv Shah
• Dua S Shah
• Tara P Shah, MD
• Jency Shaji, DMD
• Niaam Shamasyosif
• Adam Sabri Shammami, D.O.
• Shamon Care LLC
• Dalya S Shamon, M.D.

• General Practice Dentistry in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.