Shivam Yogesh Mehta, BDS, MDS, MDENTSC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

38698 Issued in TX

Practice address

821 N Coleman St Ste 110
Prosper, TX 75078-2305

Phone

(972) 347-1700

NPI assigned

Jul 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mehta Orthodontics, PLLC

  dba Prosper Trail Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Prosper, TX
  • NPI 1730019159
  NPD Authorized official

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1407332240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N COLEMAN ST STE 110",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782305",
            "telephone_number": "972-347-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N COLEMAN ST STE 110",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782305",
            "telephone_number": "972-347-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Fm 548 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751266295",
            "country_code": "US",
            "telephone_number": "469-322-8570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SHIVAM",
        "middle_name": "YOGESH",
        "credential": "BDS, MDS, MDENTSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38698",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "38698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Isabella Mecca
• Med Southwest, PLLC (MyEyeDr.)
• Brandon Medel
• Elizabeth Anne Medina, RN
• Mehta Orthodontics, PLLC (Prosper Trail Orthodontics)
• Jasmine Melton
• Ashly N Mendez
• Menopause Rocks
• Rebecca Lynn Meraz, RN
• Paris Merrill

• Orthodontics and Dentofacial Orthopedics Dentistry in Prosper, TX
• Providers in Prosper, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.