Individual provider Active NPI

Priya Nayanesh Shah, DMD

  • Pediatric Dentistry
  • Washington, DC
National Provider Identifier
1962086397
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN2000319 Issued in DC
Practice address
4910 Massachusetts Ave NW Ste 311
Washington, DC 20016-4368
Phone
(202) 237-2833
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401418574 VA
Pediatric Dentistry 1223P0221X DEN2000319 DC Primary

Addresses

Primary practice location

4910 Massachusetts Ave NW Ste 311
Washington, DC 20016-4368

Mailing address

43490 Yukon Dr Ste 105
Ashburn, VA 20147-7303
Phone (703) 665-4955

Other practice location 1

43490 Yukon Dr Ste 105
Ashburn, VA 20147-7303
Phone (703) 665-4955

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

LicenseStateTypeSpecialty
DEN2000319DCMDPediatric Dentist
0401418574VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Roya Pilcher DDS PLLC Pediatric Dentistry CurrentSince May 18, 2025 Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 311
Washington, DC 20016
Phone (202) 237-2833

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1962086397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43490 YUKON DR STE 105",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477303",
            "telephone_number": "703-665-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW STE 311",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164368",
            "telephone_number": "202-237-2833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43490 Yukon Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201477303",
            "country_code": "US",
            "telephone_number": "703-665-4955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRIYA",
        "middle_name": "NAYANESH",
        "name_prefix": "Miss",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401418574",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN2000319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.