ASHUTOSH SHRIVASTAVA DMD
NPI 1881982833
Dentist in Mexico, MO

Q: What is Ashutosh Shrivastava's NPI number?

The NPI number for Ashutosh Shrivastava is 1881982833. It was assigned to this individual provider in the NPPES registry on July 12, 2011.

Q: What is Ashutosh Shrivastava's specialty?

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

Active since July 12, 2011PECOS Enrolled

340 KELLEY PKWY, MEXICO, MO 65265(573) 582-1234 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 2, 2026, May 6, 2025, Nov 14, 2017 (3 updates tracked since 2017).

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About Ashutosh Shrivastava Dmd NPPES

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

ASHUTOSH SHRIVASTAVA DMD (NPI 1881982833) is an individual dentist in Mexico, Missouri, licensed in Missouri (2015010832) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Montgomery City.

NPPES Registry Identity

NPI1881982833

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameASHUTOSH SHRIVASTAVACredential: DMD

Location Address340 KELLEY PKWYMexico, MO 65265-3811

Mailing Address340 Kelley PkwyMexico, MO 65265-3811 · (573) 582-1234 · Fax (573) 582-1212

Phone(573) 582-1234

Sole ProprietorNo

Enumeration DateJuly 12, 2011

Last NPPES UpdateMarch 2, 20263 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1881982833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2015010832

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.

340 KELLEY PKWY, Mexico, MO 65265

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Secondary Practice Location 1

Location 11225 Aguilar DrMontgomery City, MO 63361-2723 · Phone (573) 582-1234 · Fax (573) 582-1212

Other Identifiers 1

Medicaid400157835MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Ashutosh Shrivastava Dmd 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 65265 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

KRISTEN ANN FISHBACK LCSW

Social Worker (Clinical)