Yesha Patel Shah, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 21937 Issued in FL

Practice address

2105 Hartwood Marsh Rd Ste 3
Clermont, FL 34711-5390

Phone

(352) 536-9644

NPI assigned

Jun 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1801246160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 SOUTHLAWN AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 HARTWOOD MARSH RD STE 3",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115390",
            "telephone_number": "352-536-9644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 Great Pond Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327147244",
            "country_code": "US",
            "telephone_number": "407-862-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "YESHA",
        "middle_name": "PATEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selvyn Sewell, DR
• John Gerald Shaffer III, DPT
• Aalok Sunil Shah, DO
• Anushka Shah
• Tulsi G. Shah, MD
• Shalanda'S House Inc
• Lori T Shallcross, LCSW
• Nitin Sharma, MD
• Shauna Ali Sharpe, DPT
• Keith Shatsoff

• General Practice Dentistry in Clermont, FL
• Providers in Clermont, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.