Active NPI
Gregory Shain, D.D.S.
- General Practice Dentistry
- Indio, CA
National Provider Identifier
1023203387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38131
- Practice address
- 81735 US Highway 111
Indio, CA 92201-5414 - Phone
- (760) 391-4466
- NPI assigned
- Sep 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38131 | CA | Primary |
Addresses
Primary practice location
81735 US Highway 111
Indio, CA 92201-5414
Mailing address
35901 Cathedral Canyon Dr Unit 25
Cathedral City, CA 92234-7260
Phone (253) 212-5248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38131 | Other | CA | PROVIDER LICENSE NUMBER |
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 |
|---|---|---|---|
| Western Dental Services, Inc. | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Indio, CA
- NPI 1023154499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1023203387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35901 CATHEDRAL CANYON DR UNIT 25",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922347260",
"telephone_number": "253-212-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81735 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922015414",
"telephone_number": "760-391-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIN",
"first_name": "GREGORY",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER LICENSE NUMBER",
"identifier": "38131",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.