Individual provider Active NPI

Shefali Pandya Upadhyay, DMD

  • General Practice Dentistry
  • Wilmington, DE
National Provider Identifier
1235229428
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0001124 Issued in DE
Practice address
707 Foulk Rd
Suite 201
Wilmington, DE 19803-3737
Phone
(302) 421-9960
Fax
(302) 421-9970
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G1-0001124 DE Primary

Addresses

Primary practice location

707 Foulk Rd
Suite 201
Wilmington, DE 19803-3737

Mailing address

707 Foulk Rd
Suite 201
Wilmington, DE 19803-3737
Phone (302) 421-9960

Other names 1

  • Dr. Shefali Pandya Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20150429001856 DE Order and Referring Only - DentistPractitioner - Dentist 7911226758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0001124DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shefali Pandya, D.M.D., P.a. 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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1235229428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 FOULK RD",
            "address_2": "SUITE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033737",
            "telephone_number": "302-421-9960",
            "fax_number": "302-421-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 FOULK RD",
            "address_2": "SUITE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033737",
            "telephone_number": "302-421-9960",
            "fax_number": "302-421-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA UPADHYAY",
        "first_name": "SHEFALI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEFALI",
            "last_name": "PANDYA",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.