Palak Parikh Shah, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15120 Issued in MD

Practice address

6345 Woodside CT Ste 103
Columbia, MD 21046-3224

Phone

(104) 312-5660

Fax

(410) 312-5662

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 14, 2015 through May 14, 2027

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 and National Provider Directory roles.

• Laurel Pines Dental Group, Chartered

  • Dental Clinic/Center
  • Laurel, MD
  • NPI 1114084514
  NPD (past)
• Patricia S. Stoker, DDS, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbia, MD
  • NPI 1083986509
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1306191234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 LIMERICK CT",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291546",
            "telephone_number": "443-745-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 WOODSIDE CT STE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463224",
            "telephone_number": "104-312-5660",
            "fax_number": "410-312-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PALAK",
        "middle_name": "PARIKH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahmineh Ann Shadkhoo, LCPC
• Amanda Louise Shafer, MSN, CRNP, FNP-C
• Jawedullah Shafiq
• Deepak A. Shah, MD
• Deshna Shah
• Parul Ashwin Mehta Shah, M.D.
• Rekha G Shah, M.D.
• Sandra A Shaklan, MSW, LCSW-C
• Ravi Vijay Shamaiengar, MD
• Anum Shami, PHARMD

• General Practice Dentistry in Columbia, MD
• Providers in Columbia, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.