Individual provider Active NPI

Rajiv B Shekhadiya, DDS

  • Dentist
  • Fort Hood, TX
National Provider Identifier
1821438334
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30698 Issued in TX
Practice address
4250 Clear Creek Road, # 213
Fort Hood Exchange Shopping Center
Fort Hood, TX 76544
Phone
(254) 285-2014
Fax
(254) 285-2182
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30698 TX Primary

Addresses

Primary practice location

4250 Clear Creek Road, # 213
Fort Hood Exchange Shopping Center
Fort Hood, TX 76544

Mailing address

3604 S W S Yound Dr
314
Killeen, TX 76542
Phone (248) 275-3292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150902003051 CA Order and Referring Only - DentistPractitioner - Dentist 0244546448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30698TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rajiv Shekhadiya PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1821438334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 S W S YOUND DR",
            "address_2": "314",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76542",
            "telephone_number": "248-275-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 CLEAR CREEK ROAD, # 213",
            "address_2": "FORT HOOD EXCHANGE SHOPPING CENTER",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-285-2014",
            "fax_number": "254-285-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKHADIYA",
        "first_name": "RAJIV",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

Verify at the official NPI Registry.