Shashikant Shah, BDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN8462 Issued in FL

Practice address

123 S Industrial Dr Ste 101
Orange City, FL 32763-7421

Phone

(386) 775-8737

Fax

(386) 775-3757

NPI assigned

May 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205049384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S INDUSTRIAL DR STE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637421",
            "telephone_number": "386-775-8737",
            "fax_number": "386-775-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S INDUSTRIAL DR STE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637421",
            "telephone_number": "386-775-8737",
            "fax_number": "386-775-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHASHIKANT",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmet Sevimli, MD
• Jennifer Shackley, APRN
• Sumayyah Shafiuddin, DMD
• Devang M Shah, M.D.
• Lata S Shah, HIS NBC
• Dany Shamoun, M.D.
• Neeraj Sharma, MD
• Olivia Shenkle
• Kelly Sherwin
• Natalia Deepak Shringarpure, MD

• General Practice Dentistry in Orange City, FL
• Providers in Orange City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.