NPIMap

Organization Active NPI

Prachi D Shah DDS PC

  • General Practice Dentistry
  • Pantego, TX
National Provider Identifier
1619372547
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29434 Issued in TX
Legal business name
PRACHI D SHAH DDS PC
Practice address
2313 W Arkansas LN
Suite 111
Pantego, TX 76013-6064
Phone
(817) 860-2222
Fax
(817) 462-0257
NPI assigned
Nov 4, 2014
Last updated
Nov 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Prachi D Shah, D.D.S
Title
President/Dentist
Phone
(817) 860-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 29434 TX Primary

Addresses

Primary practice location

2313 W Arkansas LN
Suite 111
Pantego, TX 76013-6064

Mailing address

2313 W Arkansas LN
Suite 111
Pantego, TX 76013-6064
Phone (817) 860-2222

National Provider Directory

National Provider Directory
Tax ID family
Prachi D Shah DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1619372547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 W ARKANSAS LN",
            "address_2": "SUITE 111",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760136064",
            "telephone_number": "817-860-2222",
            "fax_number": "817-462-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 W ARKANSAS LN",
            "address_2": "SUITE 111",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760136064",
            "telephone_number": "817-860-2222",
            "fax_number": "817-462-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACHI D SHAH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRACHI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "817-860-2222",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pantego, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.