Organization Active NPI

Shayer Shah DDS LLC

  • Dentist
  • Newark, OH
National Provider Identifier
1851751127
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2617 Issued in OH
Legal business name
SHAYER SHAH DDS LLC
Practice address
1619 W Main St
Newark, OH 43055-1345
Phone
(740) 522-1133
Fax
(740) 522-1178
NPI assigned
Mar 1, 2016
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Shayer R ShahNPI 1245422757
Title
Owner
Phone
(740) 522-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2617 OH Primary

Addresses

Primary practice location

1619 W Main St
Newark, OH 43055-1345

Mailing address

1619 W Main St
Newark, OH 43055-1345
Phone (740) 522-1133

National Provider Directory

National Provider Directory

Locations

1619 W Main St
Newark, OH 43055
Phone (740) 522-1133

60 Messimer Dr
Newark, OH 43055
Phone (740) 522-2230

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1851751127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551345",
            "telephone_number": "740-522-1133",
            "fax_number": "740-522-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551345",
            "telephone_number": "740-522-1133",
            "fax_number": "740-522-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYER SHAH DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHAYER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-522-1133"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "2617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.