Organization Active NPI

Dr. Rashmi Shah

  • General Practice Dentistry
  • Brockton, MA
National Provider Identifier
1457523573
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15243 Issued in MA
Legal business name
DR. RASHMI SHAH
Practice address
1091 N Main St
Brockton, MA 02301-1540
Phone
(508) 586-7866
Fax
(508) 586-7286
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Miss Sandra M Barros
Title
Office Manager
Phone
(508) 586-7866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 15243 MA Primary

Addresses

Primary practice location

1091 N Main St
Brockton, MA 02301-1540

Mailing address

1091 N Main St
Brockton, MA 02301-1540
Phone (508) 586-7866

National Provider Directory

National Provider Directory

Locations

1091 N Main St
Brockton, MA 02301
Phone (508) 586-7866

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1457523573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 N MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011540",
            "telephone_number": "508-586-7866",
            "fax_number": "508-586-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 N MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011540",
            "telephone_number": "508-586-7866",
            "fax_number": "508-586-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RASHMI SHAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "BARROS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-586-7866",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.