Purvi Shah, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049765-1 Issued in NY

Practice address

824 Route 6
Mahopac, NY 10541-1721

Phone

(845) 621-0312

Fax

(845) 621-0314

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1558568477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 ROUTE 6",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411721",
            "telephone_number": "845-621-0312",
            "fax_number": "845-621-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 ROUTE 6",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411721",
            "telephone_number": "845-621-0312",
            "fax_number": "845-621-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PURVI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049765-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Bartholdi Ms, Otr/L, PLLC (Hudson Valley Therapy)
• Sean M. Rooney DDS, PLLC
• Greg John Sebring, MPT
• Teresa M Sedran, RN
• Abigail Carolyn Semenetz, RN
• Gayle Loren Shatzkes
• Dolores E Shields, COTA
• Isra Shilad
• Serena Shin, O.D.
• Sara Simone, OTR/L

• General Practice Dentistry in Mahopac, NY
• Providers in Mahopac, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.

Verify at the official NPI Registry.