Active NPI
Rekha Shenoy
- General Practice Dentistry
- McKinney, TX
National Provider Identifier
1538227640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22379
- Practice address
- 825 N McDonald St
Suite B
McKinney, TX 75069-2141 - Phone
- (214) 629-5304
- Fax
- (972) 548-5591
- NPI assigned
- Dec 4, 2006
- Last updated
- Jan 23, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22379 | TX | Primary |
Addresses
Primary practice location
825 N McDonald St
Suite B
McKinney, TX 75069-2141
Mailing address
1420 W Mockingbird LN
Suite 500
Dallas, TX 75247-4931
Phone (214) 630-7080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160108001719 | TX | Order and Referring Only - Dentist | 5991007866 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1538227640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 W MOCKINGBIRD LN",
"address_2": "SUITE 500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474931",
"telephone_number": "214-630-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N MCDONALD ST",
"address_2": "SUITE B",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750692141",
"telephone_number": "214-629-5304",
"fax_number": "972-548-5591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENOY",
"first_name": "REKHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.