Active NPI
Priya Ilesh Shah, DDS
- Dentist
- Niles, IL
National Provider Identifier
1841920667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.035046
- Practice address
- 7942 W Oakton St
Niles, IL 60714-2400 - Phone
- (847) 823-0260
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12013814A | IN | |
| Dentist | 122300000X | 019.035046 | IL | Primary |
Addresses
Primary practice location
7942 W Oakton St
Niles, IL 60714-2400
Mailing address
360 W Hubbard St Apt 1809
Chicago, IL 60654-5752
Phone (219) 794-6333
Other practice location 1
417 Ridge Rd Ste A
Munster, IN 46321-1571
Phone (219) 552-7674
Other practice location 2
11055 Broadway Ste E
Crown Point, IN 46307-7300
Phone (219) 488-2610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.035046 | IL | MD | Dentist |
| 12013814A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priya Shah DDS PLLC | Dentist | Current | Accepting new patients |
| Lamantia & Mazanek LTD. | Past | Accepting new patients |
Locations
7942 W Oakton St
Niles, IL 60714
Phone (847) 823-0260
Organizations & group practices 2
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.
-
- Dentist
- Niles, IL
- NPI 1033924691
-
- General Practice Dentistry
- Niles, IL
- NPI 1407028624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1841920667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 W HUBBARD ST APT 1809",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606545752",
"telephone_number": "219-794-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7942 W OAKTON ST",
"city": "NILES",
"state": "IL",
"postal_code": "607142400",
"telephone_number": "847-823-0260"
}
],
"practiceLocations": [
{
"address_1": "417 Ridge Rd Ste A",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463211571",
"country_code": "US",
"telephone_number": "219-552-7674",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11055 Broadway Ste E",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463077300",
"country_code": "US",
"telephone_number": "219-488-2610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "PRIYA",
"middle_name": "ILESH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-14",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12013814A",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.035046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.