DR. VICKI SHAH (NPI# 1841814035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841814035 |
| Entity Type | Individual |
| Full Name | DR. VICKI SHAH |
| Credential | DDS |
| Practice Address |
220 E Commerce Ct Elkhorn WI 53121-4371 |
| Practice Telephone | 2627233224 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.032646 | IL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 845 S Perryville Rd Unit 127, Rockford, IL 611084340 | 7794232135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457502478 | Vicki M Shah | Physician Assistant | 1725 W Harrison St Ste 319, Chicago, IL 60612-3852 | 2008-10-08 |
| Street Address |
220 E COMMERCE CT |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-4371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| 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 |
|---|---|---|---|---|
| 1780244350 | Narayan Naik | Dentist | 220 Commerce Ct, Elkhorn, WI 53121-4371 | 2019-06-17 |
| 1245723394 | Heather Ann Thorson | Dentist | 20211 Manderson St, Elkhorn, NE 68022-3234 | 2018-06-13 |
| 1144732272 | Open Arms Free Clinic | Dentist | 205 East Commerce Ct, Elkhorn, WI 53121-4360 | 2017-10-30 |
| 1619254398 | Michele Barnard Pindyck | Dentist | 205 Commerce Ct, Elkhorn, WI 53121-4360 | 2011-11-09 |
| 1063570695 | James Breck Magill | Dentist | 209 Commerce Ct, Elkhorn, WI 53121-4371 | 2006-12-05 |
| 1326124793 | Stephanie Anne Vondrak | Dentist | 1048 N 204th Ave, Elkhorn, NE 68022-4641 | 2006-10-28 |
| 1932290822 | Mark Nielsen | Dentist | 1908 Binfield St Ste 4, Elkhorn, NE 68022-2889 | 2006-09-27 |
| 1649254897 | Paige Miller | Dentist | 19103 Mason Plz, Elkhorn, NE 68022-5659 | 2005-12-01 |
| 1275521205 | Paul Wortman | Dentist | 215 E Douglas St, Elkhorn, NE 68022-1417 | 2005-10-13 |
| 1073811014 | Shadow Ridge Dental | Dentist | 19103 Mason Plz, Elkhorn, NE 68022-5659 | 2011-02-28 |
| Find all providers in ELKHORN | ||||
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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.