DR. PAYAL SHAH (NPI# 1487636908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487636908 |
| Entity Type | Individual |
| Full Name | DR. PAYAL SHAH |
| Credential | D.D.S. |
| Practice Address |
3240 Oak Park Ave Berwyn IL 60402-3428 |
| Mailing Address |
2596 Hillsboro Blvd Aurora IL 60503-6732 |
| Practice Telephone | 7087886768 |
| Practice Fax Number | 7087883666 |
| Mailing Telephone | 6306921615 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 9179257 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756735 | Payal K Shah | Dentist | 330 N Jefferson St Apt 1906, Chicago, IL 60661-1322 | 2020-06-30 |
| 1063879369 | Payal Shah | Nurse Practitioner | 31500 W 13 Mile Rd Ste 100, Farmington Hills, MI 48334-2172 | 2016-01-19 |
| 1386980100 | Payal Shah | Pharmacist | 27 Villanova Drive, Kendall Park, NJ 08824 | 2012-12-26 |
| 1760791198 | Payal Kirtikant Shah | Internal Medicine | 2800 N Lake Shore Dr, St Jospeh Hospital, Chicago, IL 60657-6232 | 2010-10-04 |
| 1447406160 | Payal Naimesh Shah | Emergency Medicine | 1701 Kalorama Rd Nw, Apt 204, Washington, DC 20009-3500 | 2008-08-13 |
| 1528222569 | Payal Mitesh Shah | Family Medicine | 1314 Central Ave S Ste 102, Kent, WA 98032-7430 | 2008-07-17 |
| 1770583965 | Payal Bharat Shah | Physical Therapist | 466 Germantown Pike, Ste 200, Lafayette Hill, PA 19444-1805 | 2005-07-28 |
| 1639789977 | Payal Shah | Nurse Practitioner | 1520 Avenue Pl, Atlanta, GA 30329-4015 | 2020-08-02 |
| 1831725076 | Payal Shah | Behavior Technician | 5601 Arnold Rd Fl 104, Dublin, CA 94568-7726 | 2020-03-19 |
| 1104386804 | Payal Shah | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2019-03-20 |
| Street Address |
3240 OAK PARK AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932384211 | Berwyn Oak Park Family Dentistry | Dentist | 3240 Oak Park Ave, Berwyn, IL 60402-5470 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| 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 |
|---|---|---|---|---|
| 1831749282 | Westwyn Dental LLC | Dentist | 6901 Stanley Ave, Berwyn, IL 60402-2919 | 2019-09-18 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1033562251 | Mario Serrano Dds & Sara Vafa Dmd P.C. | Dentist | 6931 Cermak Rd, Berwyn, IL 60402-2101 | 2016-07-22 |
| 1841530433 | Rebecca J Weightman | Dentist | 6901 West Stanley Ave, Berwyn, IL 60402 | 2013-02-19 |
| 1497015721 | G.r. Clemens, D.d.s., P.C. | Dentist | 3340 Oak Park Ave., Suite 301, Berwyn, IL 60402-3483 | 2012-05-21 |
| 1316233554 | Omar Souman | Dentist | 6301 Cermak Rd Ste B, Berwyn, IL 60402-2368 | 2011-06-27 |
| 1124358551 | 34th Street Dental Care | Dentist | 6411 34th St, Berwyn, IL 60402-3717 | 2010-01-07 |
| 1114183068 | Claudia Rae Romanek | Dentist | 6642 Cermak Rd, Berwyn, IL 60402-2335 | 2008-07-30 |
| 1467621565 | Dr Susan Klyber Dds PC | Dentist | 6725 W Stanley Ave, Suite 6, Berwyn, IL 60402-3156 | 2008-02-22 |
| 1639354608 | Clinica Dental | Dentist | 6301b W Cermak Rd, Berwyn, IL 60402 | 2008-01-08 |
| Find all providers in BERWYN | ||||
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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.