Organization Active NPI

Rupal Shah DMD PC

  • Dentist
  • Richmond, VA
National Provider Identifier
1639483159
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RUPAL SHAH DMD PC
Doing business as
Glen Allen Dentistry
Practice address
2314 E Parham Rd
Richmond, VA 23228-3118
Phone
(804) 261-1970
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Dr. Rupal A Shah, DDS
Title
Owner
Phone
(804) 261-1970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2314 E Parham Rd
Richmond, VA 23228-3118

Mailing address

2314 E Parham Rd
Richmond, VA 23228-3118
Phone (804) 261-1970

Other identifiers 1

IdentifierTypeStateIssuer
1427239508OtherVAINDIVIDUAL NPI

Other names 1

  • Glen Allen Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2314 E Parham Rd
Richmond, VA 23228
Phone (804) 261-1970

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1639483159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 E PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232283118",
            "telephone_number": "804-261-1970",
            "fax_number": "804-261-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 E PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232283118",
            "telephone_number": "804-261-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUPAL SHAH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RUPAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-261-1970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1427239508",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Allen Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.