Organization Active NPI

M Shah DMD PC

  • General Practice Dentistry
  • Concord, NC
National Provider Identifier
1619774916
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
M SHAH DMD PC
Practice address
25 Barbrick Ave SW
Concord, NC 28025-5164
Phone
(980) 334-2172
NPI assigned
Feb 25, 2025
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Dr. Mansi Shah, DMDNPI 1609394576
Title
Dr
Phone
(469) 401-2090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

25 Barbrick Ave SW
Concord, NC 28025-5164

Mailing address

25 Barbrick Ave SW
Concord, NC 28025-5164

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1619774916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BARBRICK AVE SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BARBRICK AVE SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255164",
            "telephone_number": "980-334-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SHAH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MANSI",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "469-401-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.