Individual provider Active NPI

Shilpa M Das, D.D.S.

  • Dentist
  • Wesley Chapel, FL
National Provider Identifier
1669736070
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19816 Issued in FL
Practice address
5879 Argerian Dr.
Wesley Chapel, FL 33545
Phone
(813) 445-6668
Fax
(813) 445-6668
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19816 FL Primary

Addresses

Primary practice location

5879 Argerian Dr.
Wesley Chapel, FL 33545

Mailing address

16069 Bella Woods Dr
Tampa, FL 33647-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20170427001111 FL Order and Referring Only - DentistPractitioner - Dentist 0547547663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Chapel Family Dental, P.a. CurrentSince Jun 1, 2020 Accepting new patients

Locations

5879 Argerian Dr
Wesley Chapel, FL 33545
Phone (813) 445-6668

5879 Argerian Dr
Ste 101
Wesley Chapel, FL 33545

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1669736070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16069 BELLA WOODS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336475133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5879 ARGERIAN DR.",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33545",
            "telephone_number": "813-445-6668",
            "fax_number": "813-445-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS",
        "first_name": "SHILPA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.