Jolly Shah, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44775 Issued in CA

Practice address

1761 E Capitol Expy
San Jose, CA 95121-1561

Phone

(408) 223-2500

Fax

(408) 223-5525

NPI assigned

Jul 30, 2005

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jolly P. Shah Dental Corporation

  dba Aarisha Dental Office

  • Dentist
  • San Jose, CA
  • NPI 1578757555
  NPD Authorized official
• Jolly Shah, DDS, Dental Corporation

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1881068666
  NPD Authorized official
• Shah Jolly DDS Dental Corporation

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1841722337
  NPD Authorized official

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

{
    "created_epoch": "1122681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1063412054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 E CAPITOL EXPY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211561",
            "telephone_number": "408-223-2500",
            "fax_number": "408-223-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 E CAPITOL EXPY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211561",
            "telephone_number": "408-223-2500",
            "fax_number": "408-223-5525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3465 McKee Rd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951272233",
            "country_code": "US",
            "telephone_number": "408-929-8811",
            "fax_number": "408-929-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JOLLY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-30",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G92525-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALAMEDA ALLIANCE",
            "identifier": "B44775-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CLARA HEALTHY KIDS",
            "identifier": "B44775-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darshini S Shah, D.D.S
• Dhruvi Ramanbhai Shah
• Disha Shah, LPT
• Jahnavi Shyam Shah
• Jayati Anand Shah
• Keyur Shah
• Khushboo Ronak Shah, PT
• Kinnari Shah, PA-C
• Madhuri Shakti Shah
• Minal Shah

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 Oct 12, 2022; 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.