Winiata Shortland

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35905 Issued in CA

Practice address

3015 Hopyard Rd Ste R
Pleasanton, CA 94588-5259

Phone

(925) 462-6367

Fax

(925) 461-1888

NPI assigned

Feb 28, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1194582957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 HOPYARD RD STE R",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885259",
            "telephone_number": "925-462-6367",
            "fax_number": "925-461-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HOPYARD RD STE R",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885259",
            "telephone_number": "925-462-6367",
            "fax_number": "925-461-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTLAND",
        "first_name": "WINIATA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohit Nitin Shingate
• Shalaka Gandbhir Shinkre, P.T.
• Martina Danielle Shipp
• Tony G Shiu, MD
• Charles D. Short Jr., NP
• Swechha Shrestha
• Shawn Shubert, CMT
• Fung Y. Shuen, D.D.S.
• Chhavi Shukla
• Pratima P. Shukla, MD

• General Practice Dentistry in Pleasanton, CA
• Providers in Pleasanton, 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 Feb 28, 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.