Active NPI
Dr Aqeela Syeda Shah DDS Inc
- Dental Clinic/Center
- Santa Ana, CA
National Provider Identifier
1285075960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 58179
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aqeela Syeda Shah, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Dentist
- Santa Ana, CA
- NPI 1689809410
-
- General Practice Dentistry
- Santa Ana, CA
- NPI 1164612107
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.