Organization Active NPI

D.Shen Dental Corp.

  • Preferred Provider Organization
  • Cupertino, CA
National Provider Identifier
1336512094
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
53106 Issued in CA
Legal business name
D.SHEN DENTAL CORP.
Doing business as
Alpine Dental Corp.
Practice address
19028 Stevens Creek Blvd
Cupertino, CA 95014-2560
Phone
(408) 996-8611
Fax
(408) 996-8662
NPI assigned
Nov 3, 2015
Organization subpart
Yes
Parent organization
D.SHEN DENTAL CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Dong Shen, DDS
Title
Owner
Phone
(650) 938-1868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 53106 CA Primary

Addresses

Primary practice location

19028 Stevens Creek Blvd
Cupertino, CA 95014-2560

Mailing address

19028 Stevens Creek Blvd
Cupertino, CA 95014-2560
Phone (408) 996-8611

Other names 1

  • Alpine Dental Corp. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1336512094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19028 STEVENS CREEK BLVD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142560",
            "telephone_number": "408-996-8611",
            "fax_number": "408-996-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19028 STEVENS CREEK BLVD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142560",
            "telephone_number": "408-996-8611",
            "fax_number": "408-996-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.SHEN DENTAL CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D.SHEN DENTAL CORP.",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "DONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-938-1868",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "53106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Dental Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.