Individual provider Active NPI

Tika Shah, D.M.D.

  • Dentist
  • Miami Gardens, FL
National Provider Identifier
1366556037
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2000159262 Issued in MO
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

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
119830700MedicaidFL
409036811MedicaidMO

Other names 1

  • Tika Tika Shah Former name

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

LicenseStateTypeSpecialty
31050FLMDDentist
2000159262MOMDDentist
119FLMDRadiology Practitioner Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family and Child Enrichment, Inc PastSince Oct 21, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.