Individual provider Active NPI

Tej Ashok Shah, D.M.D

  • Dentist
  • Ashland, MA
National Provider Identifier
1902273667
Registry record updated Oct 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857056 Issued in MA
Practice address
5 Homer Ave
Ashland, MA 01721-1710
Phone
(508) 387-3733
NPI assigned
Aug 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 04182 NH
Dentist 122300000X DN1857056 MA Primary

Addresses

Primary practice location

5 Homer Ave
Ashland, MA 01721-1710

Mailing address

5 Homer Ave
Ashland, MA 01721-1710
Phone (508) 387-3733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20161011003133 NH Order and Referring Only - DentistPractitioner - Dentist 4385932110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857056MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Family Dental CurrentSince Mar 28, 2021 Accepting new patients

Locations

5 Homer Ave
Ashland, MA 01721
Phone (508) 387-3733

Organizations & group practices 1

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": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666396800000",
    "number": "1902273667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOMER AVE",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211710",
            "telephone_number": "508-387-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HOMER AVE",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211710",
            "telephone_number": "508-387-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TEJ",
        "middle_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2022-10-22",
        "certification_date": "2022-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04182",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, MA

Sources for this page

Verify at the official NPI Registry.