Active NPI
Shilpa Emani
- Dentist
- Philadelphia, PA
National Provider Identifier
1922611607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS042882
- Practice address
- 2107B Cottman Ave
Philadelphia, PA 19149-1122 - Phone
- (312) 274-4526
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS042882 | PA | Primary |
Addresses
Primary practice location
2107B Cottman Ave
Philadelphia, PA 19149-1122
Mailing address
275 S Bryn Mawr Ave Apt K32
Bryn Mawr, PA 19010-4248
Phone (848) 234-6766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042882 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1922611607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 S BRYN MAWR AVE APT K32",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190104248",
"telephone_number": "848-234-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107B COTTMAN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491122",
"telephone_number": "312-274-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMANI",
"first_name": "SHILPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS042882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.