Organization Active NPI

Shireen Choudhury DDS a Professional Dental Corporation

  • General Practice Dentistry
  • Mountain View, CA
National Provider Identifier
1073788170
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47058 Issued in CA
Legal business name
SHIREEN CHOUDHURY DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
2425 California St Ste D
Mountain View, CA 94040-1462
Phone
(650) 967-1389
Fax
(650) 852-9756
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Shireen Choudhury, DDSNPI 1215089347
Title
President
Phone
(650) 967-1389

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 47058 CA Primary

Addresses

Primary practice location

2425 California St Ste D
Mountain View, CA 94040-1462

Mailing address

2425 California St Ste D
Mountain View, CA 94040-1462
Phone (650) 967-1389

National Provider Directory

National Provider Directory

Locations

2425 California St
Ste D
Mountain View, CA 94040
Phone (650) 967-1389

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1073788170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 CALIFORNIA ST STE D",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401462",
            "telephone_number": "650-967-1389",
            "fax_number": "650-852-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CALIFORNIA ST STE D",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401462",
            "telephone_number": "650-967-1389",
            "fax_number": "650-852-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIREEN CHOUDHURY DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "CHOUDHURY",
        "authorized_official_first_name": "SHIREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-967-1389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.