Vidhi Shah, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36796 Issued in TX

Practice address

100 Carlos G Parker Blvd NW Ste 110
Taylor, TX 76574-7059

Phone

(917) 544-3605

NPI assigned

Aug 17, 2019

Last updated

Nov 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1528614294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N VISTA RIDGE BLVD APT 18205",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786130031",
            "telephone_number": "732-362-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARLOS G PARKER BLVD NW STE 110",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765747059",
            "telephone_number": "917-544-3605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950512901",
            "country_code": "US",
            "telephone_number": "408-343-4167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIDHI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-17",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104266",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott & White Hospital - Taylor (Baylor Scott & White Medical Center - Taylor)
• Scott & White Hospital - Taylor (Baylor Scott & White Medical Center - Taylor)
• Scott & White Hospital - Taylor (Baylor Scott & White Medical Center - Taylor)
• Scott and White Hospital - Taylor (Baylor Scott & White Medical Center - Taylor)
• Sean Patrick Seivert, DC
• Najiya Rafeek Shanaa, PHARMD
• Pinki Shende, DNP, FNP-BC, APRN
• Franklin J Smalley, M.D.
• Clyde D. Smith, M.D.
• Cynthia A Smith, RN-C, FNP

• General Practice Dentistry in Taylor, TX
• Providers in Taylor, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.