Individual provider Active NPI

Shylah Gabriel, DMD

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1275948614
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D008946 Issued in AZ
Practice address
290 S Alma School Rd Ste 9
Chandler, AZ 85224-7633
Phone
(480) 857-4900
Fax
(480) 857-4904
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D008946 AZ Primary

Addresses

Primary practice location

290 S Alma School Rd Ste 9
Chandler, AZ 85224-7633

Mailing address

290 S Alma School Rd Ste 9
Chandler, AZ 85224-7633
Phone (480) 857-4900

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

LicenseStateTypeSpecialty
D008946AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Posh Dental Peoria PLLC Current Accepting new patients
Posh Dental Spa PLLC General Practice CurrentSince Apr 16, 2023 Accepting new patients
South Mountain Smiles PLLC General Practice Past Accepting new patients

Locations

290 S Alma School Rd
Ste 9
Chandler, AZ 85224
Phone (480) 857-4900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1275948614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S ALMA SCHOOL RD STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247633",
            "telephone_number": "480-857-4900",
            "fax_number": "480-857-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S ALMA SCHOOL RD STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247633",
            "telephone_number": "480-857-4900",
            "fax_number": "480-857-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "SHYLAH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.