Organization Active NPI

Varsha D Shah DDS PC

  • Pediatric Dentistry
  • Bronx, NY
National Provider Identifier
1275706715
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
033490 Issued in NY
Legal business name
VARSHA D SHAH DDS PC
Practice address
3005 Grand Concourse
Bronx, NY 10468-1428
Phone
(718) 933-0998
Fax
(718) 933-0110
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Varsha D Shah, DDSNPI 1801864848
Title
President
Phone
(718) 933-0998

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 SINGLE SPECIALTY GROUP 1223P0221X 033490 NY Primary

Addresses

Primary practice location

3005 Grand Concourse
Bronx, NY 10468-1428

Mailing address

3005 Grand Concourse
Bronx, NY 10468-1428
Phone (718) 933-0998

Other identifiers 1

IdentifierTypeStateIssuer
00311835MedicaidNY

National Provider Directory

National Provider Directory

Locations

3005 Grand Concourse
Bronx, NY 10468
Phone (718) 364-3200

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": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1275706715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681428",
            "telephone_number": "718-933-0998",
            "fax_number": "718-933-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681428",
            "telephone_number": "718-933-0998",
            "fax_number": "718-933-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARSHA D SHAH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VARSHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-933-0998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "033490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00311835",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.