Active NPI
Mayank Shrivastava, BDS, MDS
- Orofacial Pain Dentistry
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orofacial Pain Dentistry
- License
- 14049
- 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
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 | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14049 | NC | MD | Orofacial Pain Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Hills Dental LLC | Current | Accepting new patients | |
| Dental Faculty Practice | Dentist | Current | Accepting new patients |
| Unc Oral & Maxillofacial Pathology Laboratory | Past | 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
- 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.
-
- Dentist
- Chapel Hill, NC
- NPI 1023044526
-
- General Practice Dentistry
- Meridian, MS
- NPI 1720691892
-
- Clinical Medical Laboratory
- Chapel Hill, NC
- NPI 1982632915
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.