Dhaval Tushar Mehta, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029462L Issued in PA

Practice address

17 S. 60TH St. 2ND FLR.
Philadelphia, PA 19139

Phone

(215) 472-4500

Fax

(215) 472-4009

NPI assigned

Dec 2, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in PA

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": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508934951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FARM VIEW DR",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193632445",
            "telephone_number": "610-998-9540",
            "fax_number": "215-472-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S. 60TH ST. 2ND FLR.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19139",
            "telephone_number": "215-472-4500",
            "fax_number": "215-472-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "DHAVAL",
        "middle_name": "TUSHAR",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029462L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015608700003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aasta D Mehta, M.D.
• Ajay M Mehta, MD
• Amay Mehta
• Anuj Vishal Mehta, MD
• Bena Mehta, M.D.
• Gunja Mehta, DO
• Jay Mehta, M.D., M.S.
• Jaya Mehta, D.O.
• Julie Mehta, DO
• Megan Mehta

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.
• 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.