Sheffali Sheth-Nadler, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-02-0450 Issued in OH

Practice address

4817 Mahoning Ave NW
Warren, OH 44483-1430

Phone

(330) 847-0676

NPI assigned

Sep 7, 2005

Last updated

Mar 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Modern Dental Concepts Inc.

  • General Practice Dentistry
  • Warren, OH
  • NPI 1144355959
  NPD (past)
• Modern Dental Concepts, Gursharanjit Singh, DMD, LLC

  • General Practice Dentistry
  • Warren, OH
  • NPI 1780518589
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1649264508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831430",
            "telephone_number": "330-847-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831430",
            "telephone_number": "330-847-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH-NADLER",
        "first_name": "SHEFFALI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-02-0450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADC2071378",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Rae Shelton, PSY.D.
• Shannon L Shelton, L.P.N.
• Yndia Shelton, STNA
• Shepherd of the Valley Lutheran Retirement Services, Inc. (Shepherd of the Valley Howland)
• Shepherd of the Valley Lutheran Retirement Services, Inc. (Shepherd of the Valley - Howland)
• Angela Shields, CDCA
• Darren Alan Shiley, D.O.
• Janet L Shiley, MD
• Amy Shimek
• Shiene Shingles

• General Practice Dentistry in Warren, OH
• Providers in Warren, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.