Organization Active NPI

Shannon Chris, a Dental Corporation

  • Dental Clinic/Center
  • Sacramento, CA
National Provider Identifier
1285147223
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
101398 Issued in CA
Legal business name
SHANNON CHRIS, A DENTAL CORPORATION
Practice address
7936 Cavalier Way
Sacramento, CA 95832-9728
Phone
(209) 596-5113
NPI assigned
Nov 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Dr. Shannon Chris, DDSNPI 1578092854
Title
Ceo
Phone
(209) 596-5113

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 101398 CA Primary

Addresses

Primary practice location

7936 Cavalier Way
Sacramento, CA 95832-9728

Mailing address

7936 Cavalier Way
Sacramento, CA 95832-9728
Phone (209) 596-5113

Other practice location 1

1621 Oak Ave Ste A
Davis, CA 95616-1000
Phone (209) 596-5113

National Provider Directory

National Provider Directory

Locations

1621 Oak Ave
Ste A
Davis, CA 95616
Phone (209) 596-5113

Practitioners & affiliated clinicians

Practitioners 1

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": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1285147223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7936 CAVALIER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958329728",
            "telephone_number": "209-596-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7936 CAVALIER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958329728",
            "telephone_number": "209-596-5113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 Oak Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956161000",
            "country_code": "US",
            "telephone_number": "209-596-5113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHANNON CHRIS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "CHRIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-596-5113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "101398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.