Timothy Shen, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TIMOTHY SHEN, DDS, INC.

Practice address

5308 Lake Murray Blvd Ste E
La Mesa, CA 91942-1334

Phone

(619) 469-4144

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Bella Zaritsky

Title

Director

Phone

(480) 590-3396

Specialties & licenses 1

Addresses

Other names 1

• Trinity Family Dental Doing business as

Locations

Practitioners 1

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

• Caitlin Nicole Grogan, DMD

  • Dentist
  • La Mesa, CA
  • NPI 1962183988
  NPD

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1154154243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 LAKE MURRAY BLVD STE E",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 LAKE MURRAY BLVD STE E",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421334",
            "telephone_number": "619-469-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY SHEN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "ZARITSKY",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-590-3396"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Tidwell, MD, MPH
• Jonathan Tiefenbrun, M.D.
• Romchoung K Tieu, PARENT PARTNER
• Tiffany Diemquynh Tieu
• Timothy L. Caruthers Chiropractic Corp
• Tina Bui OD Inc
• Julia Marie Tirpak, MFT
• Federico Jesus Tiznado, D.D.S
• TLN Professional Services West, PC
• TMJ Therapy Centre, LLC

• General Practice Dentistry in La Mesa, CA
• Providers in La Mesa, 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 30, 2024; 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.