Active NPI
Kaushik Harshad Shah
- General Practice Dentistry
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30181
- Practice address
- 7635 Canal St
Houston, TX 77012-1143 - Phone
- (713) 660-1880
- Fax
- (713) 926-9105
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30181 | TX | |
| General Practice Dentistry | 1223G0001X | 19027201 | IL | |
| General Practice Dentistry | 1223G0001X | 30181 | TX | Primary |
Addresses
Primary practice location
7635 Canal St
Houston, TX 77012-1143
Mailing address
PO Box 230209
Houston, TX 77223-0209
Phone (713) 660-1880
Other practice location 1
7037 Capitol St Ste N100
Houston, TX 77011-4643
Phone (713) 660-1880
Other practice location 2
412 Telephone Rd
Houston, TX 77023-1840
Phone (713) 660-1880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 230209
Houston, TX 77223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19027201 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro de Corazon | Current | Accepting new patients | |
| El Centro de Corazon | Current | Accepting new patients |
Locations
412 Telephone Rd
Houston, TX 77023
Phone (713) 660-1880
7635 Canal St
Houston, TX 77012
Phone (713) 660-1880
7037 Capitol St
Ste N100
Houston, TX 77011
Phone 7136601880 ext. 01880
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1932171667
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1245556885
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1700858446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1346364403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230209",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772230209",
"telephone_number": "713-660-1880",
"fax_number": "713-926-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7635 CANAL ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770121143",
"telephone_number": "713-660-1880",
"fax_number": "713-926-9105"
}
],
"practiceLocations": [
{
"address_1": "7037 Capitol St Ste N100",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770114643",
"country_code": "US",
"telephone_number": "713-660-1880",
"fax_number": "832-494-1636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "412 Telephone Rd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770231840",
"country_code": "US",
"telephone_number": "713-660-1880",
"fax_number": "713-926-9105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "KAUSHIK",
"middle_name": "HARSHAD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30181",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "19027201",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.