Up Valley Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

UP VALLEY ORTHODONTICS

Practice address

176 Main St Ste a
Saint Helena, CA 94574-2108

Phone

(707) 963-1203

NPI assigned

May 16, 2016

Last updated

May 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ken Shanahan, DDSNPI 1174808067

Title

Partner

Phone

(707) 255-0555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ken Shanahan, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Napa, CA
  • NPI 1174808067
  Authorized official Same address or phone

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1225485691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MAIN ST STE A",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945742108",
            "telephone_number": "707-963-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MAIN ST STE A",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945742108",
            "telephone_number": "707-963-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP VALLEY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "707-255-0555",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Ian Trent, C.R.N.A.
• William Laurence Turley, M.D.
• Susan K. Turner, CNM, NP
• Susan Ukwu
• Up Valley Family Centers of Napa County
• Up Valley Pediatric Dentistry
• Up-Valley Medi-Cal
• Valley Radiological Associates Medical Group, Inc.
• Vasconi Drugs
• Mario Louis Vasconi

• Orthodontics and Dentofacial Orthopedics Dentistry in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.