Shashank Joshi, BDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D11144 Issued in OR

Practice address

1739 W Harvard Ave
Roseburg, OR 97471-2716

Phone

(646) 464-4447

NPI assigned

Aug 26, 2016

Last updated

Oct 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shashank Joshi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 30, 2023 through Aug 30, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1427504828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 HOLLINS ST",
            "address_2": "APT 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712716",
            "telephone_number": "646-464-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "SHASHANK",
        "name_prefix": "Dr.",
        "credential": "BDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-26",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D11144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHASHANK",
            "last_name": "JOSHI",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elena Ruth Jordan, MD
• Jorgensen Family Medicine PC
• Layne S Jorgensen, DO
• Steven L Jorgensen, DO
• Surya Joseph
• Joshua Fisher MD MPH MSC PC (Fisher Family Care)
• Rachel Suzanne Judd
• Judith a Martin L.C.S.W., P.C.
• Jared E Juett, LCSW
• Tim Eugene Juett, P.T.

• Periodontics in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Periodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.