NPIMap

Individual provider Active NPI

Malav B. Shah, DDS

  • General Practice Dentistry
  • Huntington, WV
National Provider Identifier
1578910311
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4244 Issued in WV
Practice address
1616 13TH Ave
Suite 200
Huntington, WV 25701-3840
Phone
(304) 691-1246
NPI assigned
May 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4244 WV Primary

Addresses

Primary practice location

1616 13TH Ave
Suite 200
Huntington, WV 25701-3840

Mailing address

1616 13TH Ave
Suite 200
Huntington, WV 25701-3840
Phone (304) 691-1246

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address malav.shah@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227001547 NC Practitioner - Dentist 7517231491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
West Virginia University School of Dentistry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1485

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4244WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Nov 11, 2024 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Nov 11, 2024 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients
University Physicians & Surgeons, Inc Past Accepting new patients
Unc Oral & Maxillofacial Pathology Laboratory Past Accepting new patients
University of North Carolina at Chapel Hill PastSince Feb 14, 1996 Accepting new patients
Dental Faculty Practice General Practice Past Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5221 Paramount Pkwy
Ste 440
Morrisville, NC 27560
Phone (984) 974-1183

Interoperability endpoints

  • Direct secure messaging: mshah1198054@direct.unc.nchie.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1578910311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 13TH AVE",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013840",
            "telephone_number": "304-691-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 13TH AVE",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013840",
            "telephone_number": "304-691-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MALAV",
        "middle_name": "B.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "malav.shah@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1616 13th Ave",
            "address_2": "Suite 200",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.