Bansari Shah, B.D.S., M.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

021.003210 Issued in IL

Practice address

2124 Ogden Avenue
Suite 104
Aurora, IL 60504

Phone

(630) 585-6100

Fax

(630) 778-2070

NPI assigned

Feb 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1891328837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 OGDEN AVENUE",
            "address_2": "SUITE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-585-6100",
            "fax_number": "630-778-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 OGDEN AVENUE",
            "address_2": "SUITE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-585-6100",
            "fax_number": "630-778-2070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Preston St Rm 312",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021701",
            "country_code": "US",
            "telephone_number": "502-852-5100",
            "fax_number": "502-852-1317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BANSARI",
        "name_prefix": "Dr.",
        "credential": "B.D.S., M.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2023-12-20",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021.003210",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "10355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Sfeir, M.D.
• Sarah Shaban, DMD
• Reem Shafi, D.D.S
• Hamza Shafie
• Maryam Shafiq
• Chiragi Mutil Shah, MD
• Gaurav Bipin Shah, D.O.
• Jenil Shah
• Mehul Shah, DO
• Mihir B Shah, D.O.

• Periodontics in Aurora, IL
• Providers in Aurora, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.