Patel-Shah Dental Iowa PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PATEL-SHAH DENTAL IOWA PLLC

Practice address

5270 Elmore Ave Ste 4
Davenport, IA 52807-3437

Phone

(563) 209-9000

NPI assigned

Apr 20, 2023

Last updated

Jun 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dewansi Patel

Title

Owner

Phone

(563) 209-9000

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaisleen Kaur, DDS

  • Dentist
  • Davenport, IA
  • NPI 1669268082
  NPD
• Jayson David Ricks, DDS

  • General Practice Dentistry
  • Davenport, IA
  • NPI 1740859883
  NPD
• Marc Conel Thevenin Jr., DDS

  • Dentist
  • Davenport, IA
  • NPI 1811281637
  NPD
• Ashu Malhotra, DDS

  • General Practice Dentistry
  • Davenport, IA
  • NPI 1770865404
  NPD (past)

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1801583869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 ELMORE AVE STE 4",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073437",
            "telephone_number": "563-209-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL-SHAH DENTAL IOWA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DEWANSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-209-9000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parker Audiology, P.C. (Don White Hearing Aid Services)
• Molly Parker, AU.D., CCC-A
• Leann Parks, PHARMD
• Tyler Parrish, DMD
• Pasadena Villa Iowa LLC (Pasadena Villa Outpatient- Quad Cities)
• Patrick D. Kelsall Crna PLC
• John J Patton, MD
• Logan Michel Patton
• James F Paul, D.D.S., M.S., M.D.
• Allison Paulius

• General Practice Dentistry in Davenport, IA
• Providers in Davenport, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.