Shefali Patel D.M.D.,Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

56240 Issued in CA

Legal business name

SHEFALI PATEL D.M.D.,INC.

Doing business as

Smile Ensure Dental Care

Practice address

1240 Border Ave
Corona, CA 92882-3801

Phone

(714) 322-5021

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Shefali Patel, D.M.D.

Title

President

Phone

(714) 322-5021

Specialties & licenses 1

Addresses

Other names 1

• Smile Ensure Dental Care Doing business as

Locations

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1295179653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 BORDER AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BORDER AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823801",
            "telephone_number": "714-322-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEFALI PATEL D.M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHEFALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-322-5021",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Ensure Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Cherice Shaw, M.S., LMFT
• Sarah Shea
• Tyler Ryan Shea, AA AND BA
• Jessica Lee Shears, LCSW
• June Gay Sheets, NP
• Merissa Shelton
• Sara Shelton
• Crystal Shen
• Lynn Shen, DDS
• Eric L Shepard, M.D.

• Dental Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.