Active NPI
Shefali Mehta
- Dentist
- Fort Washington, PA
National Provider Identifier
1760052823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS043226
- Practice address
- 401 Commerce Dr
Fort Washington, PA 19034-2714 - Phone
- (215) 550-7186
- NPI assigned
- Jun 30, 2021
- 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 | DS043226 | PA | Primary |
Addresses
Primary practice location
401 Commerce Dr
Fort Washington, PA 19034-2714
Mailing address
10835 64TH Ave FL 1
Forest Hills, NY 11375-1442
Phone (718) 288-1962
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 |
|---|---|---|---|
| DS043226 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1760052823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10835 64TH AVE FL 1",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751442",
"telephone_number": "718-288-1962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 COMMERCE DR",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190342714",
"telephone_number": "215-550-7186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "SHEFALI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.