Priyanka Shah-Modi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

31755 Issued in TX

Practice address

173 Tovrea Rd
Suite D
Alvin, TX 77511-2963

Phone

(281) 824-4270

NPI assigned

Aug 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

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.

• Alvin Family Dentistry, PLLC

  • General Practice Dentistry
  • Alvin, TX
  • NPI 1437039021
  NPD (past)

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1831522002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 TOVREA RD",
            "address_2": "SUITE D",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775112963",
            "telephone_number": "281-824-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 TOVREA RD",
            "address_2": "SUITE D",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775112963",
            "telephone_number": "281-824-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH-MODI",
        "first_name": "PRIYANKA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029585",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robbe Lyn Sebesta, LPC, LCDC-I
• Jay A Seligman, LCSW
• Senior Connections of Texas PLLC
• Serenity Health Care Staffing
• Kimberly Jeanette Serrano
• Aimee Shelton
• Maged Moheb Shokralla
• Abuzar Arshi Siddiqui, BDS,MPH
• Stacy Diane Sikes, LPC
• Courtney Nicole Simmons-Matthews, APRN, CNP

• Dentist in Alvin, TX
• Providers in Alvin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.