Active NPI
Tika Shah, D.M.D.
- Dentist
- Miami Gardens, FL
National Provider Identifier
1366556037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2000159262
- Practice address
- 1825 NW 167TH St Ste 109
Miami Gardens, FL 33056-4838 - Phone
- (305) 474-1800
- NPI assigned
- Aug 18, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 31050 | FL | |
| Public Health Dentistry | 1223D0001X | 119 | FL | |
| Dentist | 122300000X | 2000159262 | MO | Primary |
Addresses
Primary practice location
1825 NW 167TH St Ste 109
Miami Gardens, FL 33056-4838
Mailing address
1180 N Federal Hwy Unit 702
Fort Lauderdale, FL 33304-1466
Phone (314) 504-8092
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119830700 | Medicaid | FL | |
| 409036811 | Medicaid | MO |
Other names 1
- Tika Tika Shah
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31050 | FL | MD | Dentist |
| 2000159262 | MO | MD | Dentist |
| 119 | FL | MD | Radiology Practitioner Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family and Child Enrichment, Inc | Past | Accepting new patients |
Interoperability endpoints
- tshah@cfcecares.directbygreenway.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Miami Gardens, FL
- NPI 1699106088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1366556037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 N FEDERAL HWY UNIT 702",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333041466",
"telephone_number": "314-504-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 NW 167TH ST STE 109",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330564838",
"telephone_number": "305-474-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "TIKA",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "31050",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "FL",
"license": "119",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2000159262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119830700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409036811",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TIKA",
"last_name": "SHAH",
"middle_name": "TIKA",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.