Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114919594 Individual Practitioner Male Practitioner

Dr. Tushar Niranjan Shah , DDS

Dentist - General Practice • Mohawk, NY

Professional Overview & Biography Verified Profile Summary

Dr. Tushar Shah, DDS is a registered healthcare professional specializing in Dentist - General Practice in Mohawk, NY. Practice services are available at 53 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

53 E Main St

Mohawk, NY 134071140

Telephone 3158660017
Fax 3158668127

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mohawk, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Mohawk, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 044024

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01411816 (NY)
Commercial Insurance / Payer ID Doraldental
014949 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active June 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2017

Registered at 53 E MAIN ST, MOHAWK, NY 134071140 (Tel: 3158660017)

📍
Updated Business Mailing Address June 16, 2017

Registered at 53 E MAIN ST, MOHAWK, NY 134071140 (Tel: 3158660017)

👤
Provider Name / Credentials Updated June 16, 2017

Recorded as TUSHAR SHAH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2017

Dentist (License #044024 in NY)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 53 E MAIN ST, MOHAWK, NY 134071140 (Tel: 3158660017)

📍
Updated Business Mailing Address July 09, 2007

Registered at 53 E MAIN ST, MOHAWK, NY 134071140 (Tel: 3158660017)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as TUSHAR SHAH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #044024 in NY)

🟢
Initial NPI Registration & Enumeration August 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114919594
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2005
Last Update: June 16, 2017
Sole Proprietor: Yes

Mailing Address

53 E Main St

Mohawk, NY 134071140

Phone: 3158660017

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.