Shrenik Shah, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN015772 Issued in GA

Practice address

350 Town Center Ave Ste 301
Suwanee, GA 30024-6914

Phone

(678) 835-0793

NPI assigned

Jul 21, 2010

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mahavir Dental LLC

  • Pediatric Dentistry
  • Duluth, GA
  • NPI 1265145064
  NPD Authorized official
• Imagix 3 Dental

  • Dentist
  • Suwanee, GA
  • NPI 1770689119
  NPD (past)
• Imagix Dental of Suwanee LLC

  • Dentist
  • Suwanee, GA
  • NPI 1417325952
  NPD (past)

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1295048163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 TOWN CENTER AVE STE 301",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 TOWN CENTER AVE STE 301",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246914",
            "telephone_number": "678-835-0793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Hembree Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300763816",
            "country_code": "US",
            "telephone_number": "770-777-7427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHRENIK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015772",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS039153",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN015772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert H Shackelford, DDS
• Robert Daniel Shaffer, PHD
• Heerain Ashok Shah, M.D.
• Krystle Shah, FNP-C
• Reshma Shah, M.D.
• Vasudha Rani Shah, D.P.M.
• Vidhi Shah
• Virang Girish Shah, D.P.M
• Ram B Shahani, PT, OCS
• Ashraful Haq Shaikh, PHARMD

• Pediatric Dentistry in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.