Individual provider Active NPI

Neelam S. Shah, D.M.D.

  • Dentist
  • North Palm Beach, FL
National Provider Identifier
1255742169
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22848 Issued in FL
Practice address
840 US 1 Ste 350
North Palm Beach, FL 33408-3834
Phone
(561) 694-1740
NPI assigned
May 13, 2014
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856764 MA
Dentist 122300000X DN22848 FL Primary

Addresses

Primary practice location

840 US 1 Ste 350
North Palm Beach, FL 33408-3834

Mailing address

12721 SW 27TH St
Miami, FL 33175-2149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 2, 2016 through Feb 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN22848FLMDDentist
DN1856764MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shah Dental PLLC CurrentSince Mar 24, 2025 Accepting new patients
Modern Dental Smiles PA Past Accepting new patients

Locations

840 US Highway 1
Ste 350
North Palm Beach, FL 33408
Phone (561) 694-1740

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1255742169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12721 SW 27TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 US 1 STE 350",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083834",
            "telephone_number": "561-694-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEELAM",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856764",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.