Shalini Thatte DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHALINI THATTE DMD INC

Practice address

9420 Mira Mesa Blvd Ste G
San Diego, CA 92126-4848

Phone

(949) 556-0067

NPI assigned

Dec 2, 2020

Last updated

Dec 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shalini Sunkanna Thatte, DMDNPI 1689918856

Title

President

Phone

(949) 556-0067

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shalini S Thatte, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • San Diego, CA
  • NPI 1689918856
  Authorized official Same address or phone
• Mitra Javidan Mazdyasni, DMD

  • Dentist
  • San Diego, CA
  • NPI 1891834941
  NPD

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1306441944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 AFRICAN HOLLY TRL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 MIRA MESA BLVD STE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264848",
            "telephone_number": "949-556-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALINI THATTE DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "THATTE",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_middle_name": "SUNKANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-556-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afaaf Ishrat Shakir, MD
• Gideon Mordechai Shakked, RPH
• Farah Palomas Shakoori, REGISTERED DIETITIAN
• Kelly Shakya
• Mark David Shalauta, M.D.
• Teresa Crossley Shallow, DC
• Samuel Shalov, MD
• Nikolai Shalygin, M.D.
• Azam Shamani, MD
• Krista Shambaugh, PMHNP

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, 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 Dec 2, 2020; 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.