Kinnar R Shah DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KINNAR R SHAH DMD PA

Practice address

121 Waterman Ave
Mount Dora, FL 32757-9541

Phone

(352) 735-0738

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Kinnar Rameshchandra Shah, MDNPI 1205181732

Title

President, Owner

Phone

(215) 385-1003

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kinnar Rameshchandra Shah, DMD

  • Dentist
  • Leesburg, FL
  • NPI 1205181732
  NPD Authorized official

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1457032807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LIVE OAK RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879115",
            "telephone_number": "215-385-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WATERMAN AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579541",
            "telephone_number": "352-735-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNAR R SHAH DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KINNAR",
        "authorized_official_middle_name": "RAMESHCHANDRA",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "215-385-1003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Kim, PA-C
• Yoonji Kim
• Kimberly Capstraw, LMFT
• Kimbers Care LLC
• Lisa Kingery, R.PH.
• Carol J Kirkland, ARNP, CPNP
• Jocelyn N Kiss
• Jeffrey Robert Knittel, D.D.S., M.D.
• Mary K Kolacsky
• Kailey Koontz, PA-C

• General Practice Dentistry in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.