Active NPI
Shannika Tricia Dao, D.D.S
- Dentist
- Redding, CA
National Provider Identifier
1275828840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64200
- Practice address
- 2695 Bechelli LN
Redding, CA 96002 - Phone
- (530) 222-4900
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 056205 | NY | |
| Dentist | 122300000X | 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
1012 4th St
Yreka, CA 96097
Phone (530) 842-4592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160728001862 | CA | Order and Referring Only - Other (Non-Physician) | 7618260621 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056205 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannika Dao DDS Inc. | Current | Accepting new patients |
Locations
2695 Bechelli Ln
Redding, CA 96002
Phone (530) 222-4900
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.
-
- Dental Clinic/Center
- Redding, CA
- NPI 1205328291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1275828840",
"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",
"fax_number": "530-842-2704"
},
{
"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": "1012 4th St",
"address_purpose": "LOCATION",
"city": "Yreka",
"state": "CA",
"postal_code": "96097",
"country_code": "US",
"telephone_number": "530-842-4592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAO",
"first_name": "SHANNIKA",
"middle_name": "TRICIA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "056205",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.