Active NPI
Nishma Shirish Shah, DDS
- General Practice Dentistry
- Arvada, CO
National Provider Identifier
1215215249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10452
- Practice address
- 14807 W 64TH Ave Unit C
Arvada, CO 80007-0104 - Phone
- (303) 456-4095
- NPI assigned
- Jul 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019028857 | IL | |
| General Practice Dentistry | 1223G0001X | 10452 | CO | Primary |
Addresses
Primary practice location
14807 W 64TH Ave Unit C
Arvada, CO 80007-0104
Mailing address
1995 E Coalton Rd Apt 49-102
Superior, CO 80027-4493
Phone (847) 322-8517
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019028857 | IL | MD | Dentist |
| 10452 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arvada Modern Dentistry, LLP | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Arvada, CO
- NPI 1164661013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1215215249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 E COALTON RD APT 49-102",
"city": "SUPERIOR",
"state": "CO",
"postal_code": "800274493",
"telephone_number": "847-322-8517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14807 W 64TH AVE UNIT C",
"city": "ARVADA",
"state": "CO",
"postal_code": "800070104",
"telephone_number": "303-456-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "NISHMA",
"middle_name": "SHIRISH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019028857",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "10452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.