Active NPI
Shubha Pewa
- General Practice Dentistry
- Hempstead, TX
National Provider Identifier
1801566534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37866
- Practice address
- 641 10TH St Ste C
Hempstead, TX 77445-4528 - Phone
- (979) 826-4040
- NPI assigned
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37866 | TX | Primary |
Addresses
Primary practice location
641 10TH St Ste C
Hempstead, TX 77445-4528
Mailing address
641 10TH St Ste C
Hempstead, TX 77445-4528
Phone (979) 826-4040
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1801566534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 10TH ST STE C",
"city": "HEMPSTEAD",
"state": "TX",
"postal_code": "774454528",
"telephone_number": "979-826-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 10TH ST STE C",
"city": "HEMPSTEAD",
"state": "TX",
"postal_code": "774454528",
"telephone_number": "979-826-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEWA",
"first_name": "SHUBHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "37866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.