DR. BHARAT R SHAH I (NPI# 1174541296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174541296 |
| Entity Type | Individual |
| Full Name | DR. BHARAT R SHAH I |
| Credential | DDS |
| Practice Address |
3000 Dunn Ave Ste 38 Jacksonville FL 32218-6551 |
| Practice Telephone | 9047683790 |
| Practice Fax Number | 9047687132 |
| Mailing Telephone | 9047683790 |
| Mailing Fax Number | 9047687132 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN11696 | FL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN11696 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 071934000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194123117 | Bharat Shah | Specialist | 166 Landis Way N, Wilmington, DE 19803-6408 | 2014-12-08 |
| 1225152929 | Bharat Kantilal Shah | Surgery | 950 N Kingshighway, East Saint Louis, IL 62203-1085 | 2007-03-19 |
| 1477609493 | Bharat D. Shah | Pharmacist | 15828 Glenarn Dr, Tampa, FL 33618-1652 | 2007-01-25 |
| 1316971005 | Bharat K Shah | Family Medicine | 3414 W Peterson, Suite A, Chicago, IL 60659 | 2006-07-10 |
| 1619936671 | Bharat R Shah | Urology | 79 Middleville Road, Northport, NY 11768-2290 | 2006-03-20 |
| 1891771630 | Bharat J Shah | Psychiatry & Neurology | 63 Baker Blvd, Fairlawn, OH 44333-3601 | 2005-12-22 |
| 1548264179 | Bharat C. Shah | Specialist | 4804 Leavitt Rd, Suite A, Lorain, OH 44053-2139 | 2005-06-10 |
| 1063738664 | Bharat Shah | Pharmacist | 503 Paulison Ave, Shoprite Pharmacy, Passaic, NJ 07055-3163 | 2010-04-08 |
| 1942354519 | Bharat D Shah | Obstetrics & Gynecology | 2011 Pinto Ln, #200, Las Vegas, NV 89106-4004 | 2007-01-22 |
| 1174686729 | Bharat A Shah | Dentist | 300 Middletown Blvd, Ste 101, Langhorne, PA 19047 | 2006-12-18 |
| Street Address |
3000 DUNN AVE STE 38 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-6551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932364957 | Dr. B. R. Shah | Dentist | 3000 Dunn Ave Ste 38, Jacksonville, FL 32218-6551 | 2008-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018424 | Sydney Fowler | Dentist | 12276 San Jose Blvd Ste 314, Jacksonville, FL 32223-8632 | 2020-09-21 |
| 1871106260 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 | 2020-08-26 |
| 1831710771 | Mark William Russell | Dentist | 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 | 2020-05-01 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1659923118 | San Jose Aspen Pllc | Dentist | 10502 San Jose Blvd Ste B, Jacksonville, FL 32257-6209 | 2019-07-15 |
| 1326603176 | Evens Family Dental | Dentist | 13107 Atlantic Blvd, Jacksonville, FL 32225-7127 | 2019-05-07 |
| 1487123006 | Susan Prater Kudlats, D.m.d, P.a. | Dentist | 12620 Beach Blvd Ste 18, Jacksonville, FL 32246-7130 | 2018-11-14 |
| 1043792534 | Atlantic Dentistry Pa | Dentist | 13474 Atlantic Blvd Ste 109, Jacksonville, FL 32225-0100 | 2018-08-31 |
| 1447738620 | Argyle Dental Pllc | Dentist | 6001 Argyle Forest Blvd Ste 4, Jacksonville, FL 32244-6127 | 2018-07-31 |
| 1427534445 | Sandeep Chunduru | Dentist | 571 Yopp Rd Ste 308, Jacksonville, NC 28540-3683 | 2018-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.