Individual provider Active NPI

Ankit Shah, B.D.S, M.D.S, M.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Irving, TX
National Provider Identifier
1700182516
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
26240 Issued in TX
Practice address
1001 Lake Carolyn Pkwy
Apt 452
Irving, TX 75039-4806
Phone
(213) 344-8603
NPI assigned
Jan 27, 2011
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 26240 TX Primary

Addresses

Primary practice location

1001 Lake Carolyn Pkwy
Apt 452
Irving, TX 75039-4806

Mailing address

1001 Lake Carolyn Pkwy
Apt 452
Irving, TX 75039-4806
Phone (213) 344-8603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160126000367 TX Order and Referring Only - DentistPractitioner - Dentist 0547563520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1700182516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAKE CAROLYN PKWY",
            "address_2": "APT 452",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394806",
            "telephone_number": "213-344-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAKE CAROLYN PKWY",
            "address_2": "APT 452",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394806",
            "telephone_number": "213-344-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANKIT",
        "name_prefix": "Dr.",
        "credential": "B.D.S, M.D.S, M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "26240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.