Individual provider Active NPI

Mayank Shrivastava, BDS, MDS

  • Orofacial Pain Dentistry
  • Chapel Hill, NC
National Provider Identifier
1871010165
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
14049 Issued in NC
Practice address
2050 First Dental Building
CB 7450
Chapel Hill, NC 27599-7450
Phone
(919) 537-3939
Fax
(919) 537-3856
NPI assigned
Aug 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14049 NC
Orofacial Pain Dentistry 1223X2210X 14049 NC Primary

Addresses

Primary practice location

2050 First Dental Building
CB 7450
Chapel Hill, NC 27599-7450

Mailing address

140 Dental Circle
CB 7450
Chapel Hill, NC 27599-7450
Phone (919) 537-3290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260205002577 NC Practitioner - DentistPractitioner - Orofacial Pain 1355820812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Orofacial Pain
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

140 Dental Cir
Chapel Hill, NC 27599-5021

409 Lake Hogan Farm Rd
Chapel Hill, NC 27516-4303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14049NCMDOrofacial Pain Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
North Hills Dental LLC Current Accepting new patients
Dental Faculty Practice Dentist CurrentSince Dec 21, 2025 Accepting new patients
Unc Oral & Maxillofacial Pathology Laboratory PastSince Jun 23, 2025 Accepting new patients

Locations

140 Dental Cir
Ste 143
Chapel Hill, NC 27599
Phone (919) 537-3771

140 Dental Cir
Ste 2
Chapel Hill, NC 27599
Phone (919) 537-3511

CB 7450
Chapel Hill, NC 27599
Phone (919) 966-1221

101 Brauer Hall Cb 7450
Chapel Hill, NC 27599
Phone (919) 537-3940

Interoperability endpoints

  • Direct secure messaging: mshrivastava1052145@direct.unc.nchie.net

Organizations & group practices 3

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1871010165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DENTAL CIRCLE",
            "address_2": "CB 7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997450",
            "telephone_number": "919-537-3290",
            "fax_number": "919-537-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 FIRST DENTAL BUILDING",
            "address_2": "CB 7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997450",
            "telephone_number": "919-537-3939",
            "fax_number": "919-537-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVASTAVA",
        "first_name": "MAYANK",
        "credential": "BDS, MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "14049",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "NC",
            "license": "14049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.