Active NPI
Priyal Shah Ohri, DDS
- Pediatric Dentistry
- Garden Grove, CA
National Provider Identifier
1003159864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 61434
- Practice address
- 10602 Chapman Ave, Suite 200
Garden Grove, CA 92840 - Phone
- (714) 537-0700
- NPI assigned
- Mar 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61434 | CA | |
| Pediatric Dentistry | 1223P0221X | 61434 | CA | Primary |
Addresses
Primary practice location
10602 Chapman Ave, Suite 200
Garden Grove, CA 92840
Mailing address
1150 S Tanarisk Dr
Anaheim, CA 92807
Phone (714) 488-1517
Other names 1
- Priyal Navin Shah
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Smiles for Kids of Orange County | Pediatric Dentistry | Past | Accepting new patients |
Interoperability endpoints
- pshah@direct.westerndental.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Garden Grove, CA
- NPI 1720292949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1003159864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S TANARISK DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92807",
"telephone_number": "714-488-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10602 CHAPMAN AVE, SUITE 200",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "92840",
"telephone_number": "714-537-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHRI",
"first_name": "PRIYAL",
"middle_name": "SHAH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-30",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "61434",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "61434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRIYAL",
"last_name": "SHAH",
"middle_name": "NAVIN",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.