Deval J Shah DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DEVAL J SHAH DDS LTD

Practice address

1012 E 31St St
La Grange Park, IL 60526-1217

Phone

(708) 482-3567

NPI assigned

Feb 13, 2019

Last updated

Feb 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deval Shah

Title

DDS

Phone

(708) 482-3567

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1356807515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 E 31ST ST",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E 31ST ST",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261217",
            "telephone_number": "708-482-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVAL J SHAH DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DEVAL",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "708-482-3567"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.