Active NPI
Shachi Shah, DDS
- Dentist
- Oklahoma City, OK
National Provider Identifier
1518340405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 32763
- Practice address
- 1201 N Stonewall Ave # 544N
Oklahoma City, OK 73117 - Phone
- (806) 420-4848
- NPI assigned
- Jul 9, 2015
- Last updated
- Jul 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6759 | OK | MD | Dentist |
| 32763 | TX | MD | Dentist |
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.