Ali Shahrokh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59582 Issued in CA

Practice address

207 S El Camino Real Ste D
Encinitas, CA 92024-4142

Phone

(760) 232-8878

Fax

(760) 313-3133

NPI assigned

Aug 3, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1144534082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S EL CAMINO REAL STE D",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244142",
            "telephone_number": "760-232-8878",
            "fax_number": "760-313-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S EL CAMINO REAL STE D",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244142",
            "telephone_number": "760-232-8878",
            "fax_number": "760-313-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHROKH",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03095",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaghayegh Vakilian DDS Inc
• Gautam J Shah, M. D.
• Niyati Bharat Shah, M.D.
• Puja Shah, D.M.D.
• Sagar Kamlesh Shah, MD
• Stephanie Si-Yu Shao, LCSW
• John Alan Sharkey, MMS, PA-C
• Kelly Shaughnessy, RD BS
• Erika Katherine Shaw, L.AC, DACM, CMT
• Kevin Daniel Shaw, M.D

• General Practice Dentistry in Encinitas, CA
• Providers in Encinitas, 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 Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.