Brinda Shah

Primary specialty

DentistTaxonomy code 122300000X

License

DS040599 Issued in PA

Practice address

2626 N 3Rd St Ste 3C
Harrisburg, PA 17110-2044

Phone

(732) 727-3399

NPI assigned

Sep 15, 2015

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

Enrolled in PA

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

Specialty

Dentist

Education

Howard University College of Dentistry, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hamilton Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Harrisburg, PA
  • NPI 1497779862
  Medicare reassignment
• Hamilton Health Center, Inc

  • Community/Retail Pharmacy
  • Harrisburg, PA
  • NPI 1902496573
  NPD
• Hamilton Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Harrisburg, PA
  • NPI 1053658864
  NPD

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1598134033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 APPENZELL DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368533",
            "telephone_number": "732-512-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N 3RD ST STE 3C",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102044",
            "telephone_number": "732-727-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BRINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02617500",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Ellen Shaffer, MD
• Seth Adam Shaffer, PTA
• Suhail Shafi, MD
• Anita Shah
• Anjali Shah, DDS
• Krutika Shah
• Kush Himanshu Shah, DO
• Shailaja Shah
• Virti Deven Shah
• Mehroash Shahid, M.D.

• Dentist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.