NPIMap

Organization Active NPI

Vishal Shah, DMD, PLLC

  • Dentist
  • Moneta, VA
National Provider Identifier
1336582154
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401413209 Issued in VA
Legal business name
VISHAL SHAH, DMD, PLLC
Practice address
4860 Rucker Rd Ste 3
Moneta, VA 24121-5281
Phone
(540) 297-7737
NPI assigned
Apr 11, 2013
Last updated
Apr 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Dr. Vishal ShahNPI 1700193596
Title
Dentist
Phone
(703) 314-9994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401413209 VA Primary

Addresses

Primary practice location

4860 Rucker Rd Ste 3
Moneta, VA 24121-5281

Mailing address

4860 Rucker Rd Ste 3
Moneta, VA 24121-5281
Phone (540) 297-7737

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1336582154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 RUCKER RD STE 3",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241215281",
            "telephone_number": "540-297-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 RUCKER RD STE 3",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241215281",
            "telephone_number": "540-297-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISHAL SHAH, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-314-9994",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moneta, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.