Yildiz Omar Shah, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DE60693244 Issued in WA

Practice address

8 Ponds Edge Dr Ste 2
Chadds Ford, PA 19317

Phone

(773) 372-3435

NPI assigned

Nov 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Plus Oral Surgery Specialty Care, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Reading, PA
  • NPI 1982910535
  NPD (past)
• Advanced Family Dentisitry P.C.

  • General Practice Dentistry
  • Chadd'S Ford, PA
  • NPI 1033278452
  NPD (past)

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

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1750823951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PONDS EDGE DR STE 2",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179389",
            "telephone_number": "610-388-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PONDS EDGE DR STE 2",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "19317",
            "telephone_number": "773-372-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21404 Royal Anne Rd",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980217619",
            "country_code": "US",
            "telephone_number": "773-372-3435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "YILDIZ",
        "middle_name": "OMAR",
        "name_prefix": "Mrs.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-06",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041112",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60693244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarahricenutrition, LLC
• Joseph Richard Schneider, D.C.
• Amy Schullery, PSY.D.
• Nicole Sestito, PH.D.
• Barbara W Shaffer, PH.D.
• Edythe A Shapiro, LCSW
• Alicia Shultz, LMT
• M Kyle Sila, M.D.
• Sonum Singh, MD
• Deborah Solaiman

• All providers in Chadds Ford, PA
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.