Active NPI
Lucy Patel Shah, DDS
- Dentist
- Round Lake, IL
National Provider Identifier
1295046118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.028942
- Practice address
- 425 N. Wilson Rd
Round Lake, IL 60073 - Phone
- (847) 740-0217
- Fax
- (847) 740-0397
- NPI assigned
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019.028942 | IL | Primary |
Addresses
Primary practice location
425 N. Wilson Rd
Round Lake, IL 60073
Mailing address
2124 Northwind Cir
Schaumburg, IL 60194-4419
Phone (301) 404-4489
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 |
|---|---|---|---|
| 019.028942 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Streamwood Family Dentistry P.C. | Dentist | Current | Accepting new patients |
| Lucy Shah DDS PC | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Addison, IL
- NPI 1255213898
-
- Dentist
- Streamwood, IL
- NPI 1598324295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382313600000",
"number": "1295046118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 NORTHWIND CIR",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601944419",
"telephone_number": "301-404-4489",
"fax_number": "847-740-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N. WILSON RD",
"city": "ROUND LAKE",
"state": "IL",
"postal_code": "60073",
"telephone_number": "847-740-0217",
"fax_number": "847-740-0397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "LUCY",
"middle_name": "PATEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2013-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.028942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.