Kalpana T. Shah, DMD, PC

Primary specialty

DentistTaxonomy code 122300000X

License

019025713 Issued in IL

Legal business name

KALPANA T. SHAH, DMD, PC

Practice address

1000 W Jefferson St
101
Joliet, IL 60435-6812

Phone

(815) 727-5813

Fax

(779) 205-3423

NPI assigned

Dec 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kalpana Shah, DMD

Title

President

Phone

(815) 727-5813

Specialties & licenses 1

Addresses

Other names 1

• PRIMARY FAMILY DENTAL Doing business as

Tax ID family

Kalpana T Shah DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kalpana T. Shah, DMD, PC

  • Dentist
  • Joliet, IL
  • NPI 1912137209
  NPD tax ID

Locations

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1679904171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W JEFFERSON ST",
            "address_2": "101",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356812",
            "telephone_number": "815-727-5813",
            "fax_number": "779-205-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W JEFFERSON ST",
            "address_2": "101",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356812",
            "telephone_number": "815-727-5813",
            "fax_number": "779-205-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALPANA T. SHAH, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KALPANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-727-5813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMARY FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Kaiser, SLP
• Kathleen Anne Kaiser, LCSW
• Kayleen Maretta Kaiser
• Maribeth Michelle Kaiser, LSW
• Celeste D. Kaliski, M.D.
• Kalpana T. Shah, DMD, PC
• Mir Ahmed Kamal, DMD
• Farai Kambasha, DDS
• Kathleen Margaret Kammer, M.H.S. CCC-SLP/L
• Leah Grace Kamp, MOT, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.