Shah Doshi Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHAH DOSHI DENTAL CORPORATION

Doing business as

United Smiles Dentistry

Practice address

1523 N Vasco Rd
Livermore, CA 94551-9035

Phone

(925) 373-4855

Fax

(925) 373-2855

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Hetal Shah, DDSNPI 1750806733

Title

Owner Dentist

Phone

(925) 373-4855

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• United Smiles Dentistry Doing business as
• United Dental Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hetal Shah

  • General Practice Dentistry
  • Livermore, CA
  • NPI 1750806733
  NPD Authorized official

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716595200000",
    "number": "1356053680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 N VASCO RD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945519035",
            "telephone_number": "925-373-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 N VASCO RD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945519035",
            "telephone_number": "925-373-4855",
            "fax_number": "925-373-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH DOSHI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HETAL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "925-373-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "103304",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Endre Selmeczy, D.M.D.
• Eric K Serdahl IX, PH.D.
• Rachel Sevy
• Leaf Bodhi Sexton, PHARM.D.
• Seyedeh Sima Shafiei, NMD
• Hetal Shah
• Jaimini Samir Shah, ARDMS
• Reena Shah
• Bobby Shan, DO, MS
• Payal Sharma

• General Practice Dentistry in Livermore, CA
• Providers in Livermore, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; 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.