Dr. B. R. Shah

Primary specialty

DentistTaxonomy code 122300000X

License

DN11696 Issued in FL

Legal business name

DR. B. R. SHAH

Practice address

3000 Dunn Ave Ste 38
Jacksonville, FL 32218-6551

Phone

(904) 764-3790

Fax

(904) 768-7132

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bharat R ShahNPI 1174541296

Title

Owner

Phone

(904) 768-3790

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bharat R Shah I, DDS

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1174541296
  NPD (past) Authorized official

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1932364957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 DUNN AVE STE 38",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186551",
            "telephone_number": "904-764-3790",
            "fax_number": "904-768-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DUNN AVE STE 38",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186551",
            "telephone_number": "904-764-3790",
            "fax_number": "904-768-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. B. R. SHAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-768-3790",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Stephanie L Johnson, PA (Magnolia Eye Care)
• Dr Ted Brink & Associates
• Dr Triage Physicians P.a.
• Dr. Amanda Weitzen, O.D. ,LLC (Dr. Amanda Weitzen)
• Dr. Anup K Panjwani and Associates
• Dr. Brian Celso, LLC
• Dr. Cameron a. Stewart, D.C. LLC (Stewart Chiropractic JAX)
• Dr. Carvell and Associates, PA (Dr. Carvell and Associates)
• Dr. David Weiss
• Dr. Doctor D.I.S.C. Clinic P. a.

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.