Individual provider Active NPI

Shweta Dubey Haldipur, DDS

  • Dentist
  • Cedar Park, TX
National Provider Identifier
1780067488
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37912 Issued in TX
Practice address
1201 N Bell Blvd Ste 102
Cedar Park, TX 78613-7018
Phone
(512) 462-3232
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37912 TX Primary
General Practice Dentistry 1223G0001X 64615 CA

Addresses

Primary practice location

1201 N Bell Blvd Ste 102
Cedar Park, TX 78613-7018

Mailing address

100 Palm Valley Blvd
Apt 3047
San Jose, CA 95123-1092
Phone (415) 889-3639

Other names 1

  • Dr. Shweta Dubey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160919002217 CA Order and Referring Only - DentistPractitioner - Dentist 2668769662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37912TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1780067488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PALM VALLEY BLVD",
            "address_2": "APT 3047",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231092",
            "telephone_number": "415-889-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N BELL BLVD STE 102",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137018",
            "telephone_number": "512-462-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDIPUR",
        "first_name": "SHWETA",
        "middle_name": "DUBEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37912",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHWETA",
            "last_name": "DUBEY",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.