NPIMap

Organization Active NPI

Oralcare Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Fremont, CA
National Provider Identifier
1326189028
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
28087 Issued in CA
Legal business name
ORALCARE ASSOCIATES
Practice address
2111 Parkside Dr
Suite B
Fremont, CA 94536-5325
Phone
(510) 797-9100
Fax
(510) 797-3429
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy Samuel Shahbazian, DDSNPI 1811037252
Title
Partner Owner
Phone
(510) 797-9100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 28087 CA Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 38564 CA

Addresses

Primary practice location

2111 Parkside Dr
Suite B
Fremont, CA 94536-5325

Mailing address

2111 Parkside Dr
Suite B
Fremont, CA 94536-5325
Phone (510) 797-9100

Other names 1

  • Timothy Samuel Shahbazian DDS and Dale Howard Minkin DDS Doing business as

National Provider Directory

National Provider Directory

Locations

2111 Parkside Dr
Ste B
Fremont, CA 94536
Phone (510) 797-9100

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326189028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 PARKSIDE DR",
            "address_2": "SUITE B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365325",
            "telephone_number": "510-797-9100",
            "fax_number": "510-797-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 PARKSIDE DR",
            "address_2": "SUITE B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365325",
            "telephone_number": "510-797-9100",
            "fax_number": "510-797-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORALCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAHBAZIAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "510-797-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "28087",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "38564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timothy Samuel Shahbazian DDS and Dale Howard Minkin DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.