Individual provider Active NPI

Esha Shah, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1659891398
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33142 Issued in TX
Practice address
23522 Wilderness Oak Ste 107
San Antonio, TX 78258-2409
Phone
(210) 757-3199
Fax
(210) 757-3192
NPI assigned
Jun 23, 2017
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33142 TX Primary

Addresses

Primary practice location

23522 Wilderness Oak Ste 107
San Antonio, TX 78258-2409

Mailing address

19434 Gran Roble
San Antonio, TX 78258-3332
Phone (213) 440-2132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33142TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Culebra Family Dentistry PLLC CurrentSince Aug 13, 2023 Accepting new patients
Kitty Hawk Family Dentistry PLLC General Practice PastSince May 11, 2025 Accepting new patients

Organizations & group practices 5

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1659891398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19434 GRAN ROBLE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583332",
            "telephone_number": "213-440-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23522 WILDERNESS OAK STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582409",
            "telephone_number": "210-757-3199",
            "fax_number": "210-757-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ESHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.