Active NPI
Nomita Mehta, DDS
- Dentist
- Yakima, WA
National Provider Identifier
1316994510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE8769
- Practice address
- 2802 W Nob Hill Blvd # a
Yakima, WA 98902-4982 - Phone
- (509) 576-0600
- Fax
- (509) 576-0602
- NPI assigned
- May 31, 2006
- 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 | DE8769 | WA | Primary |
Addresses
Primary practice location
2802 W Nob Hill Blvd # a
Yakima, WA 98902-4982
Mailing address
2802 West Nob Hill Blvd #a
Yakima, WA 98902-4982
Phone (509) 576-0600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE8769 | Other | WA | STATE PROFESIONAL LICENSE |
| 5038658 | Medicaid | WA |
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 |
|---|---|---|---|
| DE8769 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nomita Mehta DDS PLLC | Past | Accepting new patients | |
| Vivek Shah MD PLLC | Past | 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.
-
- Dental Clinic/Center
- Yakima, WA
- NPI 1700816022
-
- Primary Care Clinic/Center
- Yakima, WA
- NPI 1336176619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189728000000",
"number": "1316994510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 WEST NOB HILL BLVD #A",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989024982",
"telephone_number": "509-576-0600",
"fax_number": "509-576-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2802 W NOB HILL BLVD # A",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989024982",
"telephone_number": "509-576-0600",
"fax_number": "509-576-0602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "NOMITA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2007-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE8769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PROFESIONAL LICENSE",
"identifier": "DE8769",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5038658",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.