Nawal F Shah, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2205 Issued in VT

Practice address

1593 Pucker St
Stowe, VT 05672-4579

Phone

(802) 253-4157

Fax

(802) 253-7025

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stowe Family Dentistry PC

  • General Practice Dentistry
  • Stowe, VT
  • NPI 1245275122
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457433765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 PUCKER ST",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724579",
            "telephone_number": "802-253-4157",
            "fax_number": "802-253-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 PUCKER ST",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724579",
            "telephone_number": "802-253-4157",
            "fax_number": "802-253-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NAWAL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "2205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005876",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Rousseau
• Holly D Ryan, LICSW
• Sean Ryan, LICSW
• Saylor Enterprises, Inc.
• Stuart Baily Senghas, M.S.W.
• Sickcare PLLC
• Silver Pines Partners, LLC
• Luke Smith, LICSW
• Jennifer Stefanski
• Stowe Cardiology

• General Practice Dentistry in Stowe, VT
• Providers in Stowe, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.