Organization Active NPI

Mahavir Dental LLC

  • Pediatric Dentistry
  • Duluth, GA
National Provider Identifier
1265145064
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MAHAVIR DENTAL LLC
Practice address
3194 Buford Hwy
Duluth, GA 30096-3386
Phone
(470) 649-3970
Fax
(470) 649-3971
NPI assigned
Dec 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Shrenik ShahNPI 1295048163
Title
Owner
Phone
(626) 246-2842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3194 Buford Hwy
Duluth, GA 30096-3386

Mailing address

3194 Buford Hwy
Duluth, GA 30096-3386
Phone (470) 649-3970

National Provider Directory

National Provider Directory

Locations

3194 Buford Hwy
Duluth, GA 30096
Phone (470) 649-3902

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1265145064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3194 BUFORD HWY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963386",
            "telephone_number": "470-649-3970",
            "fax_number": "470-649-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3194 BUFORD HWY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963386",
            "telephone_number": "470-649-3970",
            "fax_number": "470-649-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHAVIR DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHRENIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-246-2842"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.