Shalini Mittal, DDS
NPI 1104302124 · Dentist · Cedar Park, TX
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1104302124
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 14131 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 531 Maryland Ave NeWashington, DC 20002Phone: (202) 470-5873
- 1384 109th Ave Ne Ste 200Blaine, MN 55434-4543Phone: (763) 757-6000
- 1665 Utica Ave S Ste 100St Louis Park, MN 55416Phone: (952) 541-2700
Registry dates
- Enumerated
- 2018-07-12
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.