Organization Active NPI

Amisha N Shroff,DDS,PC

  • General Practice Dentistry
  • Bethesda, MD
National Provider Identifier
1518166248
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13054 Issued in MD
Legal business name
AMISHA N SHROFF,DDS,PC
Practice address
10320 Westlake Dr
109
Bethesda, MD 20817-6448
Phone
(301) 469-4775
Fax
(301) 469-4776
NPI assigned
Jul 12, 2007
Last updated
Jul 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Amisha N Shroff, DDSNPI 1649265703
Title
Dentist
Phone
(301) 469-4775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 13054 MD Primary

Addresses

Primary practice location

10320 Westlake Dr
109
Bethesda, MD 20817-6448

Mailing address

10320 Westlake Dr
109
Bethesda, MD 20817-6448
Phone (301) 469-4775

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1518166248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 WESTLAKE DR",
            "address_2": "109",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176448",
            "telephone_number": "301-469-4775",
            "fax_number": "301-469-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 WESTLAKE DR",
            "address_2": "109",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176448",
            "telephone_number": "301-469-4775",
            "fax_number": "301-469-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISHA N SHROFF,DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "SHROFF",
        "authorized_official_first_name": "AMISHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-469-4775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.