Mehul Shah, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS040489 Issued in PA

Practice address

72 Paoli Pike
Paoli, PA 19301-1831

Phone

(610) 647-1666

NPI assigned

Nov 24, 2015

Last updated

Jan 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paoli Smiles PC

  • Dental Clinic/Center
  • Paoli, PA
  • NPI 1992279251
  NPD (past) Authorized official
• Gary L. Riggs, D.D.S., Assoc

  • General Practice Dentistry
  • Paoli, PA
  • NPI 1255358107
  NPD (past)

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1760856041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PAOLI PIKE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011831",
            "telephone_number": "732-742-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 PAOLI PIKE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011831",
            "telephone_number": "610-647-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MEHUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-24",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02609900",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857184",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Sewell, MD
• Annette M Sexton, CRNP
• Maziar Seyedian, M. D.
• Keeley Seymour, LCSW
• Cari Shabot, LPC
• Shivam Shah
• Deborah Shank, MSN
• Susan Shannon, MA
• Dennis A Sharkey III, D.M.D.
• Lewis S Sharps, M.D.

• Dentist in Paoli, PA
• Providers in Paoli, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.