Neelam Shah

Primary specialty

DentistTaxonomy code 122300000X

License

DN123375 Issued in GA

Practice address

3167 Peachtree Rd NE Ste a
Atlanta, GA 30305-1812

Phone

(470) 338-5350

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ideal Dental Buckhead PC

  • Dentist
  • Atlanta, GA
  • NPI 1851046668
  NPD

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1902336688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 N HIGHWAY 77 STE 101",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655120",
            "telephone_number": "972-923-0900",
            "fax_number": "972-243-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 PEACHTREE RD NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051812",
            "telephone_number": "470-338-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1439 N Highway 77 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Waxahachie",
            "state": "TX",
            "postal_code": "751655120",
            "country_code": "US",
            "telephone_number": "972-923-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEELAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33178",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minesh Shah, M.D.
• Monica Shah, MD
• Muskan Shah
• Naman Shah
• Neal Shah, D.D.S.
• Neil Shah
• Neil Rohit Shah, MD, MPH
• Neil Suman Shah, M.D.
• Nikhil Lalit Shah, D.O., M.P.H.
• Niti R. Shah, M.ED., CCC-SLP

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.