Individual provider Active NPI

Sunny Shah, DDS

  • Dentist
  • Allen, TX
National Provider Identifier
1316768526
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41069 Issued in TX
Practice address
820 S Alma Dr Ste 140
Allen, TX 75013-3813
Phone
(214) 383-5511
NPI assigned
Oct 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41069 TX Primary

Addresses

Primary practice location

820 S Alma Dr Ste 140
Allen, TX 75013-3813

Mailing address

820 S Alma Dr Ste 140
Allen, TX 75013-3813
Phone (214) 383-5511

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

LicenseStateTypeSpecialty
41069TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arham Smiles PLLC Dentist CurrentSince Oct 27, 2024 Accepting new patients
Smile Percision Dental Group, PC Dentist PastSince Oct 27, 2024 Accepting new patients

Locations

820 S Alma Dr
Ste 140
Allen, TX 75013
Phone (214) 383-5511

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.

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1316768526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S ALMA DR STE 140",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133813",
            "telephone_number": "214-383-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S ALMA DR STE 140",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133813",
            "telephone_number": "214-383-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SUNNY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.