Active NPI
Dhara Shah, DDS
- General Practice Dentistry
- Rutherford, NJ
National Provider Identifier
1669927240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02647000
- Practice address
- 201 Route 17
12TH Floor
Rutherford, NJ 07070-2574 - Phone
- (201) 549-8817
- NPI assigned
- Aug 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02647000 | NJ | Primary |
Addresses
Primary practice location
201 Route 17
12TH Floor
Rutherford, NJ 07070-2574
Mailing address
201 Route 17
12TH Floor
Rutherford, NJ 07070-2574
Phone (201) 549-8817
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 |
|---|---|---|---|
| 22DI02647000 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1669927240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 ROUTE 17",
"address_2": "12TH FLOOR",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070702574",
"telephone_number": "201-549-8817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ROUTE 17",
"address_2": "12TH FLOOR",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070702574",
"telephone_number": "201-549-8817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "DHARA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-24",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02647000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.