NOOPUR P SHAH (NPI# 1073153110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073153110 |
| Entity Type | Individual |
| Full Name | NOOPUR P SHAH |
| Practice Address |
2608 State St East Saint Louis IL 62205-2325 |
| Mailing Address |
2050 E Algonquin Rd Ste 610 Schaumburg IL 60173-4166 |
| Practice Telephone | 8889884066 |
| Practice Fax Number | 8474964850 |
| Mailing Telephone | 8889884066 |
| Mailing Fax Number | 8474964850 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019032460 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361341 | Noopur Shah | Dentist | 727 Stoneriver Dr, Birmingham, AL 35211-4560 | 2020-06-24 |
| 1598320095 | Noopur Shah | Counselor | 5340 N Clark St Ste 212, Chicago, IL 60640-2120 | 2019-05-09 |
| Street Address |
2608 STATE ST |
| City | EAST SAINT LOUIS |
| State | IL |
| Zip Code | 62205-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797119 | Jarvis B Owens | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2020-07-21 |
| 1174131320 | Sara Ahmad | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2020-07-14 |
| 1831674589 | Efrain Vargas | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2018-09-28 |
| 1780930701 | Kristen Frommeyer Thompson | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2012-07-27 |
| 1801151063 | Familia Dental Esl 4 LLC | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2012-07-12 |
| 1013283126 | Familia Dental Esl 4llc | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2012-03-23 |
| 1750669594 | Hanuman S Gade | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2011-07-27 |
| 1114205929 | Maryana F Kirolos | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2011-07-27 |
| 1962792747 | Familia Dental Esl LLC | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790156610 | Lessie Bates Davis Neighborhood House | Registered Nurse | 1200 North 13th Street, East Saint Louis, IL 62205 | 2015-10-19 |
| 1114047859 | Herschel Lee Garrett Jr. | Dentist | 4020 Caseyville Ave, East St Louis, IL 62205 | 2007-03-29 |
| 1376871103 | Toni M. Jackson | Massage Therapist | 4806 State St, Home Office, East Saint Louis, IL 62205-1355 | 2009-12-07 |
| 1811347362 | Destinee Hope Grove | Specialist/Technologist | 4901 State St, East Saint Louis, IL 62205-1356 | 2016-06-15 |
| 1053963470 | Stephanie Michelle Tate-patterson | Nurse Practitioner | 4901 State St, East Saint Louis, IL 62205-1356 | 2019-07-16 |
| 1710406962 | Christa R Dyson-spiller | Nurse Practitioner | 4901 State St, East Saint Louis, IL 62205-1356 | 2017-09-19 |
| 1558344986 | Gerard X Blaise | Dentist | 4601 State St, Ste 300, East Saint Louis, IL 62205-1359 | 2005-11-21 |
| 1013269737 | Illinois Express Home Care | In Home Supportive Care | 4601 State St, East Saint Louis, IL 62205-1359 | 2012-10-04 |
| 1427227891 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1801065289 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| Find all providers in zip 62205 | ||||
| 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 |
|---|---|---|---|---|
| 1043531627 | Sreekanth Kanagarla | Dentist | 2614 State St, East Saint Louis, IL 62205-2325 | 2010-06-17 |
| 1740305515 | Carla Renee Lewis | Dentist | 3129 State St, East Saint Louis, IL 62205-2203 | 2007-03-20 |
| 1558344986 | Gerard X Blaise | Dentist | 4601 State St, Ste 300, East Saint Louis, IL 62205-1359 | 2005-11-21 |
| 1730797119 | Jarvis B Owens | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2020-07-21 |
| 1174131320 | Sara Ahmad | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2020-07-14 |
| 1780930701 | Kristen Frommeyer Thompson | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2012-07-27 |
| 1801151063 | Familia Dental Esl 4 LLC | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2012-07-12 |
| 1013283126 | Familia Dental Esl 4llc | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2012-03-23 |
| 1114205929 | Maryana F Kirolos | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2011-07-27 |
| 1962792747 | Familia Dental Esl LLC | Dentist | 2608 State St, East Saint Louis, IL 62205-2325 | 2011-04-13 |
| Find all providers in EAST SAINT LOUIS | ||||
| City | EAST SAINT LOUIS |
| Zip Code | 62205 |
Please comment or provide details below to improve the information on NOOPUR P SHAH.
| 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.