Organization Active NPI

Yash Mehta DMD PC

Doing business as Shine and Smile Dental

  • Dental Clinic/Center
  • Jessup, MD
National Provider Identifier
1992226328
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
14634 Issued in MD
Legal business name
YASH MEHTA DMD PC
Doing business as
Shine and Smile Dental
Practice address
8150 Washington Blvd #113 Suite H 1
Jessup, MD 20794-8808
Phone
(240) 678-9342
NPI assigned
Jul 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Authorized official

Name
Yash Mehta, DMD
Title
President
Phone
(240) 678-9342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 14634 MD Primary

Addresses

Primary practice location

8150 Washington Blvd #113 Suite H 1
Jessup, MD 20794-8808

Mailing address

8150 Washington Blvd #113 Suite H 1
Jessup, MD 20794-8808
Phone (240) 678-9342

Other names 1

  • SHINE AND SMILE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

8150 Washington Blvd
Ste H
Jessup, MD 20794
Phone (240) 678-9342

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1992226328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 WASHINGTON BLVD #113 SUITE H 1",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207948808",
            "telephone_number": "240-678-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 WASHINGTON BLVD #113 SUITE H 1",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207948808",
            "telephone_number": "240-678-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASH MEHTA DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "YASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-678-9342",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "14634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHINE AND SMILE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jessup, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.