Kanoknuch S. Shiflett, D.D.S. Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

40303 Issued in CA

Legal business name

KANOKNUCH S. SHIFLETT, D.D.S. INC.

Practice address

906 S Sunset Ave Ste 105
West Covina, CA 91790-3400

Phone

(626) 480-1543

Fax

(626) 480-0622

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kanoknuch Shiflett, D.D.S.NPI 1609873876

Title

President

Phone

(626) 480-1543

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kanoknuch Shiflett, D.D.S.

  • Pediatric Dentistry
  • West Covina, CA
  • NPI 1609873876
  NPD Authorized official

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265624985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S SUNSET AVE STE 105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903400",
            "telephone_number": "626-480-1543",
            "fax_number": "626-480-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S SUNSET AVE STE 105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903400",
            "telephone_number": "626-480-1543",
            "fax_number": "626-480-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANOKNUCH S. SHIFLETT, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIFLETT",
        "authorized_official_first_name": "KANOKNUCH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-480-1543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "40303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kami Home Health, Inc.
• Aaron Kan, PA-C
• Kishan Kandoria
• Kang & Kim DDS, Inc
• Jung Yun Kang, D.D.S.
• Kanoknuch Shiflett Dental Corp
• Kenneth C Kao, PHARM.D.
• Karen Guinn DDS
• Ruth Manjula Karunananthan, M.D.
• Kasangra West Covina

• Pediatric Dentistry in West Covina, CA
• Providers in West Covina, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.