Active NPI
Tej Ashok Shah, D.M.D
- Dentist
- Ashland, MA
National Provider Identifier
1902273667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1857056
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161011003133 | NH | Order and Referring Only - Dentist | 4385932110 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857056 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zen Family Dental | Current | 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.
-
- Dental Clinic/Center
- Ashland, MA
- NPI 1083299382
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.