Active NPI
Divesh Shashikant Mistry, D.M.D., M.B.S.
- Dentist
- York, PA
National Provider Identifier
1760817753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS042129
- Practice address
- 116 S George St
York, PA 17401 - Phone
- (717) 845-8617
- Fax
- (717) 854-0377
- NPI assigned
- Sep 9, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS042129 | PA | Primary |
Addresses
Primary practice location
116 S George St
York, PA 17401
Mailing address
116 S George St
York, PA 17401-1474
Phone (717) 845-8617
Other practice location 1
3912 Georgia Ave NW
Washington, DC 20011-5861
Phone (202) 483-8196
Other practice location 2
1275 York Rd Ste 17
Gettysburg, PA 17325-7565
Phone (717) 337-9400
Other practice location 3
1230 High St
Hanover, PA 17331-1127
Phone (717) 632-9052
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1760817753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174011474",
"telephone_number": "717-845-8617",
"fax_number": "717-854-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "17401",
"telephone_number": "717-845-8617",
"fax_number": "717-854-0377"
}
],
"practiceLocations": [
{
"address_1": "3912 Georgia Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200115861",
"country_code": "US",
"telephone_number": "202-483-8196",
"fax_number": "202-545-2070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1275 York Rd Ste 17",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173257565",
"country_code": "US",
"telephone_number": "717-337-9400",
"fax_number": "717-420-5909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1230 High St",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173311127",
"country_code": "US",
"telephone_number": "717-632-9052",
"fax_number": "717-632-0846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISTRY",
"first_name": "DIVESH",
"middle_name": "SHASHIKANT",
"name_prefix": "Dr.",
"credential": "D.M.D., M.B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-09",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS042129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.