Shriraj Shah DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHRIRAJ SHAH DDS INC

Practice address

16184 Foothill Blvd Ste K
Fontana, CA 92335-7400

Phone

(909) 770-8916

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Shriraj Ashok Shah, DDSNPI 1386255461

Title

Dentist

Phone

(408) 531-7182

Specialties & licenses 1

Addresses

Tax ID family

Shriraj Shah DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shriraj Shah DDS, Inc

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1003588302
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shriraj Ashok Shah, DMD

  • Dentist
  • Fontana, CA
  • NPI 1386255461
  NPD Authorized official

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1093479768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16675 SLATE DR UNIT 122",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917097402",
            "telephone_number": "408-531-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16184 FOOTHILL BLVD STE K",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923357400",
            "telephone_number": "909-770-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRIRAJ SHAH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHRIRAJ",
        "authorized_official_middle_name": "ASHOK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-531-7182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Shin
• Hong S. Shin, MD
• Sung S. Shin, MD
• Adarsha N/a Shivakumar
• Nancy Shrestha
• Shriraj Shah DDS, Inc
• Fengyu Shu, MD
• Fabiola Sianturi, MSN, FNP
• Ramanjit K Sibia, R.D.
• Henry Paul Sideropoulos, MD, MD

• General Practice Dentistry in Fontana, CA
• Providers in Fontana, 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 28, 2021; 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.