NPIMap

Organization Active NPI

Krupali Shah DDS PC

  • Dentist
  • Mount Prospect, IL
National Provider Identifier
1801054168
Registry record updated Mar 26, 2009
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027638 Issued in IL
Legal business name
KRUPALI SHAH DDS PC
Practice address
409 E Euclid Ave
Unit B
Mount Prospect, IL 60056-1214
Phone
(847) 342-1999
Fax
(847) 342-8990
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Authorized official

Name
Dr. Krupali N Shah, DDS
Title
President
Phone
(773) 407-1004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019027638 IL Primary

Addresses

Primary practice location

409 E Euclid Ave
Unit B
Mount Prospect, IL 60056-1214

Mailing address

409 E Euclid Ave
Unit B
Mount Prospect, IL 60056-1214
Phone (847) 342-1999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1801054168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E EUCLID AVE",
            "address_2": "UNIT B",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561214",
            "telephone_number": "847-342-1999",
            "fax_number": "847-342-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E EUCLID AVE",
            "address_2": "UNIT B",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561214",
            "telephone_number": "847-342-1999",
            "fax_number": "847-342-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUPALI SHAH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KRUPALI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-407-1004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.