Organization Active NPI

Ankur V Shah DMD PC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1821317421
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027891 Issued in IL
Legal business name
ANKUR V SHAH DMD PC
Practice address
5050 S Kedzie Ave
Unit a
Chicago, IL 60632-3009
Phone
(773) 778-2200
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Dr. Ankur Vinod Shah, DMD
Title
Dentist
Phone
(847) 800-3604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019027891 IL Primary

Addresses

Primary practice location

5050 S Kedzie Ave
Unit a
Chicago, IL 60632-3009

Mailing address

600 N McClurg CT
#2507A
Chicago, IL 60611-3044
Phone (847) 800-3604

National Provider Directory

National Provider Directory

Locations

5050 S Kedzie Ave
#A
Chicago, IL 60632
Phone (773) 778-2200

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1821317421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MCCLURG CT",
            "address_2": "#2507A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113044",
            "telephone_number": "847-800-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 S KEDZIE AVE",
            "address_2": "UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606323009",
            "telephone_number": "773-778-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKUR V SHAH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_middle_name": "VINOD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-800-3604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.