Active NPI
Shweta Deshmukh, DDS
- Dentist
- Roanoke, VA
National Provider Identifier
1760034466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401416589
- Practice address
- 4753 Valley View Blvd NW
Roanoke, VA 24012-2000 - Phone
- (540) 682-7165
- NPI assigned
- Jul 12, 2019
- Last updated
- Sep 11, 2019
- Sex
- Female
- 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 | 0401416589 | VA | Primary |
Addresses
Primary practice location
4753 Valley View Blvd NW
Roanoke, VA 24012-2000
Mailing address
10 Azalea CT
Monmouth Junction, NJ 08852
Phone (408) 757-3404
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 |
|---|---|---|---|
| 0401416589 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1760034466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 AZALEA CT",
"city": "MONMOUTH JUNCTION",
"state": "NJ",
"postal_code": "08852",
"telephone_number": "408-757-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4753 VALLEY VIEW BLVD NW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240122000",
"telephone_number": "540-682-7165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHMUKH",
"first_name": "SHWETA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401416589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.