Individual provider Active NPI

Tushin Atulkumar Shah

  • Dentist
  • Manchester, CT
National Provider Identifier
1649651670
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11626 Issued in CT
Practice address
229 E Center St
Manchester, CT 06040-5207
Phone
(860) 643-0688
Fax
(860) 432-8495
NPI assigned
Jun 16, 2015
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11626 CT Primary
Dentist 122300000X DN1857506 MA
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

229 E Center St
Manchester, CT 06040-5207

Mailing address

229 E Center St
Manchester, CT 06040-5207
Phone (724) 261-1034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11626CTMDDentist
DN1857506MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Silk City Dental, LLC Current Accepting new patients
Manchester Dental Arts LLC CurrentSince Oct 24, 2021 Accepting new patients

Locations

229 E Center St
Manchester, CT 06040
Phone (860) 322-1202

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1649651670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405207",
            "telephone_number": "724-261-1034",
            "fax_number": "860-432-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405207",
            "telephone_number": "860-643-0688",
            "fax_number": "860-432-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TUSHIN",
        "middle_name": "ATULKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "11626",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857506",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.