MK Shah DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MK SHAH DMD PC

Practice address

227 N Talbert Blvd
Lexington, NC 27292-4142

Phone

(336) 249-2906

NPI assigned

Dec 27, 2023

Organization subpart

No

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

Authorized official

Name

Mansi Shah, DMDNPI 1609394576

Title

Dentist

Phone

(336) 249-2906

Specialties & licenses 1

Addresses

Other names 1

• MY DENTAVILLE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mansi Nayankumar Shah

  • General Practice Dentistry
  • Torrington, CT
  • NPI 1609394576
  NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1881463172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N TALBERT BLVD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924142",
            "telephone_number": "336-249-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N TALBERT BLVD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924142",
            "telephone_number": "336-249-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK SHAH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MANSI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "336-249-2906",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY DENTAVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Adams Middleton, PA
• Sam A Mihelich, PHARMD
• Cynthia A Miller, ANP-C
• Adrianne Millsap, LPTA
• Jasmine Minus
• Shraddha Modi
• Cynthia Dee Moir, LCMHCA
• Amber Melicha Molson, LCSW
• Monarch
• Monarch

• General Practice Dentistry in Lexington, NC
• Providers in Lexington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.