Organization Active NPI

Shaheen Rajpari Upton

  • General Practice Dentistry
  • Fultondale, AL
National Provider Identifier
1174957757
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5916 Issued in AL
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
153492MedicaidAL

Other names 1

  • srupton Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.