Active NPI
Priya Shah, DMD, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Charlotte, NC
National Provider Identifier
1336039080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 14296
- Practice address
- 4901 N Tryon St
Charlotte, NC 28213-7076 - Phone
- (704) 981-2110
- NPI assigned
- Jul 5, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 14296 | NC | Primary |
Addresses
Primary practice location
4901 N Tryon St
Charlotte, NC 28213-7076
Mailing address
110 Moran CT
Frederick, MD 21702-6440
Phone (240) 535-4014
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14296 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751673600000",
"number": "1336039080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MORAN CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217026440",
"telephone_number": "240-535-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 N TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282137076",
"telephone_number": "704-981-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PRIYA",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-05",
"last_updated": "2025-07-05",
"certification_date": "2025-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "14296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.