Active NPI
Shyam Navin Shah, DMD
- Dentist
- Pittsfield, MA
National Provider Identifier
1710515572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2.012143
- Practice address
- 435 South St
Pittsfield, MA 01201-6892 - Phone
- (413) 445-4592
- NPI assigned
- Mar 29, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2.012143 | CT | Primary |
Addresses
Primary practice location
435 South St
Pittsfield, MA 01201-6892
Mailing address
PO Box 116
Lenox, MA 01240-0116
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 |
|---|---|---|---|
| 2.012143 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585440000000",
"number": "1710515572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116",
"city": "LENOX",
"state": "MA",
"postal_code": "012400116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 SOUTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016892",
"telephone_number": "413-445-4592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SHYAM",
"middle_name": "NAVIN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-29",
"last_updated": "2020-03-29",
"certification_date": "2020-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "2.012143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.