Individual provider Active NPI

Shachi Shah, DDS

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1518340405
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32763 Issued in TX
Practice address
1201 N Stonewall Ave # 544N
Oklahoma City, OK 73117
Phone
(806) 420-4848
NPI assigned
Jul 9, 2015
Last updated
Jul 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32763 TX Primary
Dentist 122300000X 6759 OK

Addresses

Primary practice location

1201 N Stonewall Ave # 544N
Oklahoma City, OK 73117

Mailing address

1201 N Stonewall Ave # 544N
Oklahoma City, OK 73117-1214

Other practice location 1

13327 Tomball Pkwy
Houston, TX 77086-3128
Phone (281) 940-8453

Other practice location 2

13327 Tomball Pkwy
Houston, TX 77086-3128
Phone (281) 940-8453

Other practice location 3

1308 N Kelly Ave
Edmond, OK 73003-3906
Phone (405) 216-5299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6759OKMDDentist
32763TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1518340405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N STONEWALL AVE # 544N",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N STONEWALL AVE # 544N",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73117",
            "telephone_number": "806-420-4848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13327 Tomball Pkwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770863128",
            "country_code": "US",
            "telephone_number": "281-940-8453",
            "fax_number": "281-940-8453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13327 Tomball Pkwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770863128",
            "country_code": "US",
            "telephone_number": "281-940-8453",
            "fax_number": "281-940-8453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1308 N Kelly Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730033906",
            "country_code": "US",
            "telephone_number": "405-216-5299",
            "fax_number": "405-216-3358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHACHI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32763",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.