Altwal and Shelat DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ALTWAL AND SHELAT DDS INC

Practice address

1317 Oakdale Road, Suite 310
Modesto, CA 95355

Phone

(209) 554-1700

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Bhavini Shelat

Title

President

Phone

(510) 456-6131

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1205443116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 ACCLAIM WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 OAKDALE ROAD, SUITE 310",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-554-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTWAL AND SHELAT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "SHELAT",
        "authorized_official_first_name": "BHAVINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-456-6131"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Alsop
• Lisa Altemeyer
• Cassandra Altieri
• Justin Rian Altimus
• Robert J Altman, MD
• Marieli Alvarado Martinez, B.A.
• Blanca Alicia Alvarado Villicana
• Antonio Alvarado
• Edwin Salvador Alvarado
• Elba Guadalupe Alvarado

• Dentist in Modesto, CA
• Providers in Modesto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.