Rajnikant K Shah, B.D.S, M.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DS 20620-L Issued in PA

Practice address

2121 W Main St
Jeffersonville, PA 19403-3005

Phone

(610) 539-6550

Fax

(610) 539-4751

NPI assigned

Oct 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 22, 2015 through Jun 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jeffersonville Smiles PC

  • Dentist
  • Jeffersonville, PA
  • NPI 1366050932
  NPD (past)

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932285384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033005",
            "telephone_number": "610-539-6550",
            "fax_number": "610-539-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033005",
            "telephone_number": "610-539-6550",
            "fax_number": "610-539-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAJNIKANT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "B.D.S, M.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 20620-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "DS020620-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Pena-Ariet, M.D.
• Lindsay Anne Phillips, PSY.D.
• Ruth Rincker, LCSW
• Rite Aid of Pennsylvania LLC
• Michael Conrad Roman, D.O.
• Christiana Jo Silcox, LPC, NCC
• James W Stein, DC
• The Neuropsychiatric Group
• Taylor Tomlinson
• Connie Vu

• Dentist in Jeffersonville, PA
• Providers in Jeffersonville, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.