Active NPI
Shaheen Rajpari Upton
- General Practice Dentistry
- Fultondale, AL
National Provider Identifier
1174957757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5916
- Legal business name
- SHAHEEN RAJPARI UPTON
- Practice address
- 1810 Decatur Hwy Ste 212
Fultondale, AL 35068-1700 - Phone
- (205) 821-1976
- NPI assigned
- Aug 30, 2013
- Last updated
- Oct 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shaheen Rajpari Upton, DMD
- Title
- Owner
- Phone
- (205) 874-9605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5916 | AL | Primary |
Addresses
Primary practice location
1810 Decatur Hwy Ste 212
Fultondale, AL 35068-1700
Mailing address
1810 Decatur Hwy Ste 212
Fultondale, AL 35068-1700
Phone (205) 874-9605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153492 | Medicaid | AL |
Other names 1
- srupton
National Provider Directory
National Provider DirectoryLocations
1810 Decatur Hwy
Ste 212
Fultondale, AL 35068
Phone (205) 383-1387
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- General Practice Dentistry
- Fultondale, AL
- NPI 1407342884
-
- Dentist
- Fultondale, AL
- NPI 1598020893
-
- General Practice Dentistry
- Trussville, AL
- NPI 1477083939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476144000000",
"number": "1174957757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 DECATUR HWY STE 212",
"city": "FULTONDALE",
"state": "AL",
"postal_code": "350681700",
"telephone_number": "205-874-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 DECATUR HWY STE 212",
"city": "FULTONDALE",
"state": "AL",
"postal_code": "350681700",
"telephone_number": "205-821-1976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAHEEN RAJPARI UPTON",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-30",
"last_updated": "2016-10-11",
"status": "A",
"authorized_official_last_name": "UPTON",
"authorized_official_first_name": "SHAHEEN",
"authorized_official_middle_name": "RAJPARI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-874-9605",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "5916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153492",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "srupton",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fultondale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.