Nikunj Keyur Shah, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D15022 Issued in MN

Practice address

450 Syndicate St N Ste 300
Saint Paul, MN 55104-4127

Phone

(651) 254-7373

NPI assigned

Jun 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family and Cosmetic Gentle Dentistry

  • General Practice Dentistry
  • Edina, MN
  • NPI 1760837041
  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1891479432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 GUS YOUNG LN",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554361530",
            "telephone_number": "952-929-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SYNDICATE ST N STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044127",
            "telephone_number": "651-254-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIKUNJ",
        "middle_name": "KEYUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D15022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Leigh Shackelton
• Lauren Shafer
• Tyler Daniel Shafer, MS, LAT, ATC
• Salima Shafi, MBBS
• Salman Shafiq, MD
• Shemal Mayur Shah, D.O.
• Yasna Shahbazi, LPCC
• Andrea Shahum, M.D.
• Sani Shaibu, CHW
• Humza Shakil Shaikh, MD

• Dentist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.