Individual provider Active NPI

Shivani Vohra, DMD

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1104350594
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS65108 Issued in CA
Practice address
2138 Del Paso Blvd
Sacramento, CA 95815
Phone
(916) 642-1890
NPI assigned
Apr 12, 2017
Last updated
May 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS65108 CA Primary

Addresses

Primary practice location

2138 Del Paso Blvd
Sacramento, CA 95815

Mailing address

984 Dusty Stone Loop
Rocklin, CA 95765-5680
Phone (215) 827-9566

Other practice location 1

728 Canterbury Cir
Vacaville, CA 95687-8226
Phone (215) 827-9566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170522002869 CA Order and Referring Only - DentistPractitioner - Dentist 0143597112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS65108CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Life Organization, Inc Past Accepting new patients
Health and Life Organization, Inc General Practice Past Accepting new patients
Health and Life Organization, Inc. General Practice Past Accepting new patients
Health and Life Organization, Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1104350594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 DUSTY STONE LOOP",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655680",
            "telephone_number": "215-827-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 DEL PASO BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95815",
            "telephone_number": "916-642-1890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Canterbury Cir",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956878226",
            "country_code": "US",
            "telephone_number": "215-827-9566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOHRA",
        "first_name": "SHIVANI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS65108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.