Active NPI
Ishan Shah
- General Practice Dentistry
- Laredo, TX
National Provider Identifier
1265133789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 40452
- Practice address
- 2439 Monarch Dr Unit 4
Laredo, TX 78045-6840 - Phone
- (956) 723-1230
- NPI assigned
- Mar 13, 2023
- Last updated
- Jul 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 40452 | TX | Primary |
Addresses
Primary practice location
2439 Monarch Dr Unit 4
Laredo, TX 78045-6840
Mailing address
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Other practice location 1
9505 Mines Rd Ste 207
Laredo, TX 78045-8842
Phone (956) 370-7711
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 |
|---|---|---|---|
| 40452 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Romero Dr Pope and Associates | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Laredo, TX
- NPI 1821595935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1265133789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2439 MONARCH DR UNIT 4",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456840",
"telephone_number": "956-723-1230"
}
],
"practiceLocations": [
{
"address_1": "9505 Mines Rd Ste 207",
"address_purpose": "LOCATION",
"city": "Laredo",
"state": "TX",
"postal_code": "780458842",
"country_code": "US",
"telephone_number": "956-370-7711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "ISHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-13",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "40452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
- Janis Norman Sessions, M.S. CCC-SLP
- Michael Scott Setliff, D.C.
- Seven Flags Anesthesia Associates, PLLC
- Seventeen Lac Inc. (Care Stat;'s Buena Aventura)
- Shah Eye Center, P.a.
- Gollapudi Siva Shankar, MS, PHARMD, PHC, BCP
- Jeffry John Shellenberger, M.D.
- Jia Ming Shi, DMD
- Shiloh Medical Supply DME LLC (Shiloh Medical Supplies DME LLC)
- Shoe Specialists of Laredo & Medical Supply LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.