Krupali Shah DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KRUPALI SHAH DDS PLLC

Doing business as

Bethpage Smiles Family Dental

Practice address

549 Stewart Ave
Bethpage, NY 11714-2706

Phone

(516) 288-8393

NPI assigned

Apr 23, 2019

Last updated

Apr 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krupali Shah, DDSNPI 1093973356

Title

President

Phone

(773) 407-1004

Specialties & licenses 1

Addresses

Other names 1

• Bethpage Smiles Family Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krupali Shah, DDS

  • Dentist
  • Hicksville, NY
  • NPI 1093973356
  NPD (past) Authorized official

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1225692528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WILLETS DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913913",
            "telephone_number": "773-407-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 STEWART AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117142706",
            "telephone_number": "516-288-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUPALI SHAH DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KRUPALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-407-1004",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethpage Smiles Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Charles Kolesar-Khan, NP
• Sabina Konrad, PT, DPT, ATC, XPS
• Thomas Kowal, CCC-SLP
• Lisa Kozlowsky
• Stephanie Kraszewski, PH.D.
• Lakshya Kumar
• Versha Kumari
• Tami Wing Yan Kwong, PHARM.D.
• Rose Mary Kyriacou, P.A.
• L & C Drug Corp (Bethpage Medical Pharmacy)

• Dental Clinic/Center in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Dental Clinic/Center in New York

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

Verify at the official NPI Registry.