DR. DEEP I. SHAH (NPI# 1679968465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679968465 |
| Entity Type | Individual |
| Full Name | DR. DEEP I. SHAH |
| Credential | DMD |
| Practice Address |
1073 Oak St Pittston PA 18640-3716 |
| Mailing Address |
625 Cornfield Way Apt. 201 Dallas PA 18612-7215 |
| Practice Telephone | 5706544141 |
| Practice Fax Number | 5706542150 |
| Mailing Telephone | 2152727446 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2016-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS040290 | PA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS040290 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164985883 | Deep N Shah | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2019-04-09 |
| 1295266450 | Deep Shah | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Rd, Columbus, OH 43214-3440 | 2017-03-21 |
| 1588100192 | Deep Shah | Pharmacist | 2508 E Riverside Dr, Austin, TX 78741-3037 | 2017-01-07 |
| 1447634779 | Deep Shah | Student in an Organized Health Care Education/Training Program | 320 E North Ave, Pittsburgh, PA 15212 | 2015-07-16 |
| 1114361458 | Deep Shah | Internal Medicine | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046-8737 | 2013-04-17 |
| Street Address |
1073 OAK ST |
| City | PITTSTON |
| State | PA |
| Zip Code | 18640-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275685315 | Anthony D Kuprionas | Dentist | 1073 Oak St, Pittston, PA 18640-3716 | 2007-01-17 |
| 1639614837 | Northeast Dental Surgery Center PC | Dentist | 1073 Oak St, B Ste, Pittston, PA 18640-3716 | 2016-12-23 |
| 1437530631 | Marina Lee Castellino | Dentist | 1073 Oak St, Pittston, PA 18640-3716 | 2015-06-12 |
| 1669808259 | Priyanka Srivastava | Dentist | 1073 Oak St, Pittston, PA 18640-3716 | 2013-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225557176 | Terrana Counseling | Counselor | 2 Berkeley Street, Pittston, PA 18640 | 2017-09-12 |
| 1932647898 | Latona Home Health Services LLC | Home Health | 41 South Main St, Pittston, PA 18640 | 2017-02-10 |
| 1104292960 | Geisinger Wyoming Valley Medical Center | Radiology | 42 North Main St, Pittston, PA 18640 | 2015-08-17 |
| 1225412398 | Cara Capozucca | Specialist/Technologist | 450 Broad Street, Pittston Twp., PA 18640 | 2015-07-17 |
| 1548676463 | Dominick Ardo IIi | Pharmacist | 189 Johnson St, Pittston, PA 18640 | 2014-07-11 |
| 1518308691 | Katelyn Hopkins | Speech-Language Pathologist | 69 Market St, Pittston, PA 18640 | 2013-07-17 |
| 1467895300 | Nocerini-warshal P.C. | Dentist | 34 South Main St., Pittston, PA 18640 | 2013-04-10 |
| 1164767851 | Nancy Larralde | Physical Therapist | 209 Roberts Road, United Methodist Home Wesley Village, Pittston, PA 18640 | 2012-12-06 |
| 1285877399 | Brenda Ann Pavill | Nurse Practitioner | 37 Williams St, The Care and Concern Free Clinic, Pittston, PA 18640 | 2009-04-20 |
| 1558532671 | Wyoming Valley Alcohol & Drug Services, Inc | Counselor | 49 South Main St., Pittston, PA 18640 | 2008-03-17 |
| Find all providers in zip 18640 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275685315 | Anthony D Kuprionas | Dentist | 1073 Oak St, Pittston, PA 18640-3716 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309106 | Sea of Smiles 4 LLC | Dentist | 361 Highland Ave Ste 203, Jenkintown, PA 19046-2632 | 2019-11-06 |
| 1538701594 | John Capparell & Connie Mallozzi | Dentist | 20 N Laurel St # 2-c, Hazleton, PA 18201-5948 | 2019-10-11 |
| 1215584503 | Bright Smiles Kids Dentistry | Dentist | 410 W Lancaster Ave Ste 106, Devon, PA 19333-1588 | 2019-08-21 |
| 1841846458 | Bensalem, Smiles Inc | Dentist | 2548 Street Rd, Bensalem, PA 19020-2644 | 2019-08-11 |
| 1154976991 | Advanced Pediatric Dentistry LLC | Dentist | 220 Cumberland Pkwy Ste 6&7, Mechanicsburg, PA 17055-5683 | 2019-08-08 |
| 1205495512 | Lanz Pediatric Dentistry, LLC | Dentist | 3402 Washington Rd Ste 205, Mc Murray, PA 15317-2964 | 2019-06-10 |
| 1982267084 | Farm Park Pediatric Dentistry | Dentist | 502 W Germantown Pike Ste 100, East Norriton, PA 19403-4232 | 2019-04-15 |
| 1053878892 | Alexis Gilliam | Dentist | 2820 Whiteford Rd, York, PA 17402-7620 | 2019-02-28 |
| 1346705050 | Happy Teeth Proffesionals, LLC | Dentist | 165 Levittown Pkwy Ste B, Levittown, PA 19055-2464 | 2019-02-06 |
| 1902373111 | Cavity Busters Doylestown LLC | Dentist | 708 N Shady Retreat Rd Ste 2, Doylestown, PA 18901-2503 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
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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.