NPIMap

Organization Active NPI

Dipak S. Shah D.D.S. , LTD.

  • General Practice Dentistry
  • Westmont, IL
National Provider Identifier
1508094145
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019015412 Issued in IL
Legal business name
DIPAK S. SHAH D.D.S. , LTD.
Practice address
4118 N Cass Ave
Westmont, IL 60559-1312
Phone
(630) 852-4848
Fax
(630) 852-1941
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Dr. Dipak S. Shah, DDS
Title
President
Phone
(630) 852-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019015412 IL Primary

Addresses

Primary practice location

4118 N Cass Ave
Westmont, IL 60559-1312

Mailing address

4118 N Cass Ave
Westmont, IL 60559-1312
Phone (630) 852-4848

National Provider Directory

National Provider Directory
Tax ID family
Central Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4118 N Cass Ave
Westmont, IL 60559
Phone (630) 852-4848

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1508094145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 N CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591312",
            "telephone_number": "630-852-4848",
            "fax_number": "630-852-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 N CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591312",
            "telephone_number": "630-852-4848",
            "fax_number": "630-852-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPAK S. SHAH D.D.S. , LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-852-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019015412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.