Active NPI
Shalini Sethi, DDS
- Periodontics
- Washington Crossing, PA
National Provider Identifier
1861702938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 13724
- Practice address
- 1091 General Knox Road
Washington Crossing, PA 18977 - Phone
- (215) 493-9525
- NPI assigned
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 13724 | MD | Primary |
| Periodontics | 1223P0300X | DS037723 | PA | |
| Periodontics | 1223P0300X | 0401412798 | VA |
Addresses
Primary practice location
1091 General Knox Road
Washington Crossing, PA 18977
Mailing address
16924 Harbour Town Dr
Silver Spring, MD 20905
Phone (240) 463-5508
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 |
|---|---|---|---|
| 13724 | MD | MD | Clinical Social Worker |
| DS037723 | PA | MD | Periodontist |
| 0401412798 | VA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colonial Dental Associates | 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.
-
- General Practice Dentistry
- Washington Crossing, PA
- NPI 1639218464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1861702938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16924 HARBOUR TOWN DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20905",
"telephone_number": "240-463-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 GENERAL KNOX ROAD",
"city": "WASHINGTON CROSSING",
"state": "PA",
"postal_code": "18977",
"telephone_number": "215-493-9525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETHI",
"first_name": "SHALINI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "13724",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS037723",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "0401412798",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington Crossing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.