Prachi H Shah, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60959377 Issued in WA

Practice address

7935 216TH St SW Ste D
Edmonds, WA 98026-7941

Phone

(425) 774-5511

Fax

(425) 774-5590

NPI assigned

Sep 20, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rekhi PLLC

  • Dentist
  • Edmonds, WA
  • NPI 1942416573
  NPD (past)

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1811548969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CEDAR ST UNIT 704",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981214107",
            "telephone_number": "650-495-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 216TH ST SW STE D",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267941",
            "telephone_number": "425-774-5511",
            "fax_number": "425-774-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRACHI",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60959377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja J. Serwold, PT
• Samuel K Seto, M.D.
• Steven Jiansuen Seto
• Katherine A. Severinghaus, DPT
• Haley Shadoan, MS CCC-SLP
• Shalom Adult Family Home LLC
• Shangri-la Massage Therapy
• Debra Shanks, PTA
• John Gerard Shannon, LICSW
• Elaine Yilin Shao, MD

• Dentist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.