Maitri Shah, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859915 Issued in MA

Practice address

151 Meridian St
East Boston, MA 02128-1675

Phone

(857) 322-1011

NPI assigned

Jun 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1952086860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MUSEUM WAY APT 708",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411879",
            "telephone_number": "857-753-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MERIDIAN ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281675",
            "telephone_number": "857-322-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MAITRI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859915",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Juan Sedan, FNP
• Deborah Seiberg, LMHC
• Nancy B Seigal, RNP
• Margerie Serrano
• Joanne Sewell, LCSW, LADC1
• Manish Shah, O.D.
• Nathaniel August Shirley, LICSW
• Victoria Shopland, OTR/L
• Prachi Shukla
• Elizabeth Lane Shum, PSY.D

• Dentist in East Boston, MA
• Providers in East Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.