Grishma Shah, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46958 Issued in CA

Legal business name

GRISHMA SHAH, D.D.S., INC.

Practice address

2500 E Ball Rd
Suite 150
Anaheim, CA 92806-5054

Phone

(714) 533-9670

Fax

(714) 533-8509

NPI assigned

Apr 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Grishma Rajen Shah, D.D.S.

Title

President

Phone

(714) 533-9670

Specialties & licenses 1

Addresses

Other names 1

• SUNKIST DENTAL OFFICE Doing business as

Locations

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

{
    "created_epoch": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053431908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E BALL RD",
            "address_2": "SUITE 150",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065054",
            "telephone_number": "714-533-9670",
            "fax_number": "714-533-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E BALL RD",
            "address_2": "SUITE 150",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065054",
            "telephone_number": "714-533-9670",
            "fax_number": "714-533-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISHMA SHAH, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "GRISHMA",
        "authorized_official_middle_name": "RAJEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-533-9670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNKIST DENTAL OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renato Grillo
• Aharon J'Aivahn Grimes
• Anita Guadalupe Grimes
• Deborah A Grimes, LCSW
• Russell Grimes Jr.
• Emilia Grisotti
• Samantha Groff
• Emily Lara Gronlund, BCBA
• Kayla Gross
• Hailey Grossner

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.