Active NPI
Shireen Choudhury
- Dentist
- Mountain View, CA
National Provider Identifier
1215089347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47058
- Practice address
- 2425 California St Ste D
Mountain View, CA 94040-1462 - Phone
- (650) 967-1389
- Fax
- (650) 938-6281
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47058 | CA | Primary |
Addresses
Primary practice location
2425 California St Ste D
Mountain View, CA 94040-1462
Mailing address
10 Towne Cir
Mountain View, CA 94040-1588
Phone (650) 938-6281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G93502-01 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47058 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shireen Choudhury DDS a Professional Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Mountain View, CA
- NPI 1073788170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215089347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TOWNE CIR",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940401588",
"telephone_number": "650-938-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 CALIFORNIA ST STE D",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940401462",
"telephone_number": "650-967-1389",
"fax_number": "650-938-6281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUDHURY",
"first_name": "SHIREEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G93502-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.