Organization Active NPI

Dr Aqeela Syeda Shah DDS Inc

  • Dental Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1285075960
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
58179 Issued in CA
Legal business name
DR AQEELA SYEDA SHAH DDS INC
Practice address
3839 W 1St St
B-1
Santa Ana, CA 92703-4075
Phone
(714) 554-5062
Fax
(714) 554-5063
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Dr. Aqeela Syeda Shah, DDSNPI 1689809410
Title
President
Phone
(714) 554-5062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 58179 CA Primary

Addresses

Primary practice location

3839 W 1St St
B-1
Santa Ana, CA 92703-4075

Mailing address

3839 W 1St St
B-1
Santa Ana, CA 92703-4075
Phone (714) 554-5062

National Provider Directory

National Provider Directory

Locations

3839 W 1st St
Ste B1
Santa Ana, CA 92703
Phone (714) 554-5062

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1285075960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 W 1ST ST",
            "address_2": "B-1",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927034075",
            "telephone_number": "714-554-5062",
            "fax_number": "714-554-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 W 1ST ST",
            "address_2": "B-1",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927034075",
            "telephone_number": "714-554-5062",
            "fax_number": "714-554-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AQEELA SYEDA SHAH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AQEELA",
        "authorized_official_middle_name": "SYEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-554-5062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "58179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.