Jahanvi Shah

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033991 Issued in IL

Practice address

150 Forest Ave Unit 622
Oak Park, IL 60301-1396

Phone

(304) 906-5621

NPI assigned

Oct 31, 2022

Sex

Female

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

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1912614900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FOREST AVE UNIT 622",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011396",
            "telephone_number": "304-906-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FOREST AVE UNIT 622",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011396",
            "telephone_number": "304-906-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JAHANVI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rasheedah Shabazz
• Andrew Vincent Shack, PH.D.
• Tatyana Shafiro
• J P Shaft, LCSW
• Alison Hanold Shah
• Maimoona Shah, M.D.
• Nupur Shah, DO
• Rachana Parag Shah, M.D.
• Sejal Shah, M.D.
• Elizabeth Shannon

• General Practice Dentistry in Oak Park, IL
• Providers in Oak Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.