Organization Active NPI

Ishani Shah DDS, Inc

  • Dental Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1003599556
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ISHANI SHAH DDS, INC
Practice address
27001 Moulton Pkwy Ste A206
Laguna Hills, CA 92656-3628
Phone
(949) 831-8391
Fax
(949) 716-7429
NPI assigned
Aug 10, 2023
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ishani Shah, DDS
Title
Owner
Phone
(194) 983-1839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

27001 Moulton Pkwy Ste A206
Laguna Hills, CA 92656-3628

Mailing address

27001 Moulton Pkwy Ste A206
Laguna Hills, CA 92656-3628
Phone (949) 831-8391

National Provider Directory

National Provider Directory

Locations

27001 Moulton Pkwy
Ste A206
Laguna Hills, CA 92656
Phone (949) 831-8391

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1003599556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 MOULTON PKWY STE A206",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926563628",
            "telephone_number": "949-831-8391",
            "fax_number": "949-716-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 MOULTON PKWY STE A206",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926563628",
            "telephone_number": "949-831-8391",
            "fax_number": "949-716-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISHANI SHAH DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ISHANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "194-983-1839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.