NPIMap

Organization Active NPI

Mansi Shah DMD PC

Doing business as My Dentaville

  • General Practice Dentistry
  • Lexington, NC
National Provider Identifier
1750088571
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MANSI SHAH DMD PC
Doing business as
My Dentaville
Practice address
4423 S NC Highway 150
Lexington, NC 27295-5370
Phone
(469) 401-2090
NPI assigned
Feb 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Mansi Shah, DMDNPI 1609394576
Title
Owner
Phone
(469) 400-3163

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4423 S NC Highway 150
Lexington, NC 27295-5370

Mailing address

4423 S NC Highway 150
Lexington, NC 27295-5370

Other names 1

  • My Dentaville Doing business as

National Provider Directory

National Provider Directory

Locations

4423 S NC Highway 150
Lexington, NC 27295
Phone (469) 401-2090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1750088571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 S NC HIGHWAY 150",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272955370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 S NC HIGHWAY 150",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272955370",
            "telephone_number": "469-401-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSI SHAH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MANSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-400-3163",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dentaville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.