Active NPI
Shiv K Kohli, DDS
- Dentist
- Haltom City, TX
National Provider Identifier
1528314622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29431
- Practice address
- 5000 Western Center Blvd Ste 210
Haltom City, TX 76137-2108 - Phone
- (682) 564-9544
- Fax
- (682) 258-0966
- NPI assigned
- Jul 26, 2012
- Last updated
- Sep 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29431 | TX | Primary |
Addresses
Primary practice location
5000 Western Center Blvd Ste 210
Haltom City, TX 76137-2108
Mailing address
5000 Western Center Blvd Ste 210
Haltom City, TX 76137-2108
Phone (682) 564-9544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528314622 | Other | TX | NPI NUMBER |
Other names 1
- N/a N/a N/a
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 |
|---|---|---|---|
| 29431 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SK Dental PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Haltom City, TX
- NPI 1942736988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1528314622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 WESTERN CENTER BLVD STE 210",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761372108",
"telephone_number": "682-564-9544",
"fax_number": "682-258-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 WESTERN CENTER BLVD STE 210",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761372108",
"telephone_number": "682-564-9544",
"fax_number": "682-258-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLI",
"first_name": "SHIV",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-26",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1528314622",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"middle_name": "N/A",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Haltom City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.