DR. KISHORE M SHAH IX DDS
NPI 1356564462
Dentist - General Practice in Ridgewood, NY

Q: What is Kishore Shah's NPI number?

The NPI number for Kishore Shah is 1356564462. It was assigned to this individual provider in the NPPES registry on April 10, 2007. The provider is also known as Dr. Kishore M Shah Dds.

Q: What is Kishore Shah's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kishore Shah was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 10, 2007

321 WYCKOFF AVE, RIDGEWOOD, NY 11385(718) 386-3288(718) 386-3540 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kishore M Shah Ix Dds NPPES

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

DR. KISHORE M SHAH IX DDS (NPI 1356564462) is an individual general practice provider in Ridgewood, New York, licensed in New York (035489) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1356564462

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KISHORE M SHAH IXCredential: DDS

Location Address321 WYCKOFF AVERidgewood, NY 11385-2753

Mailing Address18 Whitewood RdWhite Plains, NY 10603-1137 · (914) 592-6694

Phone(718) 386-3288

Fax(718) 386-3540

Sole ProprietorNo

Enumeration DateApril 10, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1356564462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 035489

Definition

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.

321 WYCKOFF AVE, Ridgewood, NY 11385

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Other Names 1

Former Name (1)Dr. Kishore M Shah Dds

Other Identifiers 1

Medicaid00513864NY

Other Providers at the Same Location NPPES 2

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

ELLAHI DRUGS INC

Pharmacist

321 WYCKOFF AVE
RIDGEWOOD, NY 11385

Queens County (718) 417-0200

DR. RUFINA LOUIS DDS

Dentist (General Practice)

321 WYCKOFF AVE
RIDGEWOOD, NY 11385

Queens County (347) 384-2278

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 Kishore Shah's NPI number?

The NPI number for Kishore Shah is 1356564462. It was assigned to this individual provider in the NPPES registry on April 10, 2007. The provider is also known as Dr. Kishore M Shah Dds.

Where is Kishore Shah located?

Kishore Shah practices at 321 Wyckoff Ave, Ridgewood, NY 11385. The listed phone number is (718) 386-3288.

What is Kishore Shah's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kishore Shah was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.