SANIKA A. SHAH DDS
NPI 1093305310
Dentist in Providence, RI

Active since January 20, 2021PECOS Enrolled
335R PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0430(401) 444-0489 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2021, Sep 23, 2021, Jan 20, 2021 (3 updates tracked since 2021).

About Sanika A. Shah Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANIKA A. SHAH DDS (NPI 1093305310) is an individual dentist in Providence, Rhode Island, licensed in Rhode Island (DEN03586) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093305310
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSANIKA A. SHAHCredential: DDS
Location Address335R PRAIRIE AVEProvidence, RI 02905-2426
Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 780-2511 · Fax (401) 780-2565
Fax(401) 444-0489
Sole ProprietorNo
Enumeration DateJanuary 20, 2021
Last NPPES UpdateNovember 1, 20213 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
NPI 1093305310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in RI · DEN03586 Licensed in MA · DN1858902
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
335R PRAIRIE AVE, Providence, RI 02905

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sanika A. Shah Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
335R PRAIRIE AVE
PROVIDENCE, RI 02905
Dentist
335R PRAIRIE AVE
PROVIDENCE, RI 02905
Dentist
335R PRAIRIE AVE
PROVIDENCE, RI 02905
Dentist
335R PRAIRIE AVE
PROVIDENCE, RI 02905
Optometrist
335R PRAIRIE AVE
PROVIDENCE, RI 02905
Dentist
335R PRAIRIE AVE
PROVIDENCE, RI 02905
Dentist
335R PRAIRIE AVE
PROVIDENCE, RI 02905
Dentist
335R PRAIRIE AVE
PROVIDENCE, RI 02905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanika Shah's NPI number?

The NPI number for Sanika Shah is 1093305310. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Sanika Shah located?

Sanika Shah practices at 335R Prairie Ave, Providence, RI 02905. The listed phone number is (401) 444-0430.

What is Sanika Shah's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sanika Shah enrolled in Medicare?

Yes. Sanika Shah is registered in the Medicare PECOS enrollment system.

What insurance does Sanika Shah accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Sanika Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sanika Shah was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.