B Shelat Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

56738 Issued in CA

Legal business name

B SHELAT INC.

Practice address

4925 Sisk Rd Ste a
Salida, CA 95368-9400

Phone

(510) 456-6136

NPI assigned

Apr 29, 2014

Last updated

Apr 29, 2014By 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

Bhavini Shelat

Title

President

Phone

(510) 456-6136

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1336559384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 ACCLAIM WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 SISK RD STE A",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953689400",
            "telephone_number": "510-456-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B SHELAT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "SHELAT",
        "authorized_official_first_name": "BHAVINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-456-6136"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Salida, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.