Nikhar D Shah

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019031910 Issued in IL

Practice address

845 S Perryville Rd Unit 127
Rockford, IL 61108-4340

Phone

(779) 423-2135

NPI assigned

Oct 19, 2018

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Island Lake Dental LLC

  • General Practice Dentistry
  • Island Lake, IL
  • NPI 1376304626
  NPD Authorized official
• Dekamore Dental P.C.

  • General Practice Dentistry
  • Delkalb, IL
  • NPI 1730408741
  NPD (past)
• J.R. Patel DMD PC

  • General Practice Dentistry
  • Carpentersville, IL
  • NPI 1477723393
  NPD (past)

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1336615186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 BROOKBANK DR",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601336004",
            "telephone_number": "630-765-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S PERRYVILLE RD UNIT 127",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084340",
            "telephone_number": "779-423-2135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2158 Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Carpentersville",
            "state": "IL",
            "postal_code": "601103345",
            "country_code": "US",
            "telephone_number": "847-426-9430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIKHAR",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shah Foot & Ankle LLC
• Shah Vision Consultants Inc
• Anshul Mikin Shah
• Aruna S Shah, M.D.
• Biren Shah, DPM
• Nishith Shah, M.D.
• Payal Shah
• Prakriti Shah, D.O.
• Prayag D Shah, OD
• Setu Shah

• General Practice Dentistry in Rockford, IL
• Providers in Rockford, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.