Individual provider Active NPI

Shaveta Sethi, B.D.S., M.D.S.

  • Endodontics
  • Dallas, TX
National Provider Identifier
1609125897
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
28360 Issued in TX
Practice address
4144 N Central Expy
Suite 905
Dallas, TX 75204-3140
Phone
(214) 826-2364
Fax
(214) 826-2331
NPI assigned
Sep 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 28360 TX Primary

Addresses

Primary practice location

4144 N Central Expy
Suite 905
Dallas, TX 75204-3140

Mailing address

4144 N Central Expy
Suite 905
Dallas, TX 75204-3140
Phone (214) 826-2364

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111002397 TX Order and Referring Only - DentistPractitioner - Dentist 8820390602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28360TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Specialists of Frisco, PLLC Endodontics Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1609125897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY",
            "address_2": "SUITE 905",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043140",
            "telephone_number": "214-826-2364",
            "fax_number": "214-826-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY",
            "address_2": "SUITE 905",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043140",
            "telephone_number": "214-826-2364",
            "fax_number": "214-826-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHI",
        "first_name": "SHAVETA",
        "name_prefix": "Dr.",
        "credential": "B.D.S., M.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "28360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.