NPIMap

Organization Active NPI

Shannika Dao DDS Inc.

  • Dental Clinic/Center
  • Redding, CA
National Provider Identifier
1205328291
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
64200 Issued in CA
Legal business name
SHANNIKA DAO DDS INC.
Practice address
2695 Bechelli LN
Redding, CA 96002
Phone
(530) 222-4900
NPI assigned
Jun 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Dr. Shannika Tricia Dao, DDSNPI 1275828840
Title
President
Phone
(530) 222-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 64200 CA Primary

Addresses

Primary practice location

2695 Bechelli LN
Redding, CA 96002

Mailing address

2695 Bechelli LN
Redding, CA 96002-0926
Phone (530) 222-4900

Other practice location 1

2695 Bechelli Ln
Redding, CA 96002
Phone (530) 222-4900

Other names 1

  • Authentic Dental Studio, Dental Office of Dr. Dao Doing business as

National Provider Directory

National Provider Directory

Locations

2695 Bechelli Ln
Redding, CA 96002
Phone (530) 222-4900

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1205328291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 BECHELLI LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020926",
            "telephone_number": "530-222-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 BECHELLI LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96002",
            "telephone_number": "530-222-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2695 Bechelli Ln",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "96002",
            "country_code": "US",
            "telephone_number": "530-222-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHANNIKA DAO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "DAO",
        "authorized_official_first_name": "SHANNIKA",
        "authorized_official_middle_name": "TRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-222-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Authentic Dental Studio, Dental Office of Dr. Dao",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.