Organization Active NPI

Neni Shriver,DDS Inc

  • General Practice Dentistry
  • La Jolla, CA
National Provider Identifier
1063784825
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45194 Issued in CA
Legal business name
NENI SHRIVER,DDS INC
Practice address
7817 Ivanhoe Ave
Ste 304
La Jolla, CA 92037-4559
Phone
(858) 456-4442
Fax
(858) 456-4443
NPI assigned
Feb 8, 2012
Last updated
Feb 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Dr. Neni Diah Shriver, DDSNPI 1033256672
Title
Owner
Phone
(858) 456-4442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45194 CA Primary

Addresses

Primary practice location

7817 Ivanhoe Ave
Ste 304
La Jolla, CA 92037-4559

Mailing address

7817 Ivanhoe Ave
Ste 304
La Jolla, CA 92037-4559
Phone (858) 456-4442

National Provider Directory

National Provider Directory

Locations

7817 Ivanhoe Ave
Ste 304
La Jolla, CA 92037
Phone (858) 456-4442

Practitioners & affiliated clinicians

Practitioners 1

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": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1063784825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 IVANHOE AVE",
            "address_2": "STE 304",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374559",
            "telephone_number": "858-456-4442",
            "fax_number": "858-456-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7817 IVANHOE AVE",
            "address_2": "STE 304",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374559",
            "telephone_number": "858-456-4442",
            "fax_number": "858-456-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NENI SHRIVER,DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "SHRIVER",
        "authorized_official_first_name": "NENI",
        "authorized_official_middle_name": "DIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-456-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.