Organization Active NPI

Mehta Orthodontics, PLLC

Doing business as Prosper Trail Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Prosper, TX
National Provider Identifier
1730019159
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MEHTA ORTHODONTICS, PLLC
Doing business as
Prosper Trail Orthodontics
Practice address
821 N Coleman St Ste 110
Prosper, TX 75078-2305
Phone
(972) 347-1700
NPI assigned
May 19, 2026
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Dr. Shivam Mehta, BDS, MDS, MDENTSCNPI 1407332240
Title
Owner/Orthodontist
Phone
(972) 347-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

821 N Coleman St Ste 110
Prosper, TX 75078-2305

Mailing address

821 N Coleman St Ste 110
Prosper, TX 75078-2305
Phone (972) 347-1700

Other names 1

  • Prosper Trail Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

821 N Coleman St
Ste 110
Prosper, TX 75078
Phone (773) 231-3050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1730019159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N COLEMAN ST STE 110",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782305",
            "telephone_number": "972-347-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N COLEMAN ST STE 110",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782305",
            "telephone_number": "972-347-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHTA ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SHIVAM",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "972-347-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, MDS, MDENTSC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosper Trail Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.