Active NPI
Shyam K Malhotra, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Nashville, TN
National Provider Identifier
1740341148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS2711
- Practice address
- 1005 D B Todd Blvd a 33
Nashville, TN 37208 - Phone
- (615) 327-6303
- Fax
- (615) 321-2990
- NPI assigned
- Dec 12, 2006
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS2711 | TN | Primary |
Addresses
Primary practice location
1005 D B Todd Blvd a 33
Nashville, TN 37208
Mailing address
1005 D B Todd Blvd a 33
Meharry Med College
Nashville, TN 37208
Phone (615) 327-6303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159185 | Medicaid | TN |
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 |
|---|---|---|---|
| DS2711 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740341148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 D B TODD BLVD A 33",
"address_2": "MEHARRY MED COLLEGE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37208",
"telephone_number": "615-327-6303",
"fax_number": "615-321-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 D B TODD BLVD A 33",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37208",
"telephone_number": "615-327-6303",
"fax_number": "615-321-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALHOTRA",
"first_name": "SHYAM",
"middle_name": "K",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TN",
"license": "DS2711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159185",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.