Niketa Shah, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019030445 Issued in IL

Practice address

106 W Bartlett Ave
Bartlett, IL 60103-7880

Phone

(630) 830-4930

NPI assigned

Aug 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Niketa V Patel Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1447626700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 N CLYBOURN AVE",
            "address_2": "APT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606148991",
            "telephone_number": "630-344-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W BARTLETT AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601037880",
            "telephone_number": "630-830-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIKETA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKETA",
            "last_name": "PATEL",
            "middle_name": "V",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Henry Schwartz, M.D.
• Tovah M Schwartz, MD
• Brian Segura
• Shabiha Zaidi M.D.S.C.
• Hitesh D. Shah, PHARMACIST
• Nutan H Shah, PT
• Pradip K. Shah, R.PH
• Preety Pratik Shah, D.C.
• Seema Shah
• Shruti Shah, RDN

• Dentist in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.