Active NPI
Shaan Sehgal
- Endodontics
- Tampa, FL
National Provider Identifier
1669173829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN26894
- Practice address
- 1501 S Dale Mabry Hwy Ste 101a
Tampa, FL 33629-5837 - Phone
- (813) 957-4689
- NPI assigned
- Mar 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN26894 | FL | Primary |
Addresses
Primary practice location
1501 S Dale Mabry Hwy Ste 101a
Tampa, FL 33629-5837
Mailing address
14722 Heronglen Dr
Lithia, FL 33547-3867
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN26894 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1669173829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14722 HERONGLEN DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "335473867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S DALE MABRY HWY STE 101A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336295837",
"telephone_number": "813-957-4689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEHGAL",
"first_name": "SHAAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN26894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.