Riya Shah

Primary specialty

DentistTaxonomy code 122300000X

License

019034615 Issued in IL

Practice address

2442 Sycamore Rd
Dekalb, IL 60115-2050

Phone

(815) 748-2666

NPI assigned

Aug 31, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Dekamore Dental P.C.

  • General Practice Dentistry
  • Delkalb, IL
  • NPI 1730408741
  NPD
• James Skylar O'Brien, DDS, LLC

  • Dentist
  • Dekalb, IL
  • NPI 1811730195
  NPD

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1659157170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 STATION BLVD UNIT 424",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605042144",
            "telephone_number": "510-894-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152050",
            "telephone_number": "815-748-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019034615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Senderak, DDS
• Stephanie Severing, MSW
• Petro Shafranyuk, MD
• Milap Shah, DO
• Riddhi Rupesh Shah, M.D.
• Sweta K Shah, MD
• Christene Shank-Gunterman
• Diksha Sharma, DMD
• Richa Sharma, M.D.
• Melanie Ann Sharpe

• Dentist in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.