Active NPI
Ami S Shah
- General Practice Dentistry
- Norco, CA
National Provider Identifier
1356530646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 53672
- Practice address
- 2641 Hamner Avenue
Suite 101
Norco, CA 92860-3313 - Phone
- (858) 201-0044
- NPI assigned
- Oct 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 53672 | CA | |
| General Practice Dentistry | 1223G0001X | 53672 | CA | Primary |
Addresses
Primary practice location
2641 Hamner Avenue
Suite 101
Norco, CA 92860-3313
Mailing address
2641 Hamner Avenue
Suite 101
Norco, CA 92860-3313
Phone (858) 201-0044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53672 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A.S.Shah,DMD, Inc. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Norco, CA
- NPI 1508268749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1356530646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2641 HAMNER AVENUE",
"address_2": "SUITE 101",
"city": "NORCO",
"state": "CA",
"postal_code": "928603313",
"telephone_number": "858-201-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2641 HAMNER AVENUE",
"address_2": "SUITE 101",
"city": "NORCO",
"state": "CA",
"postal_code": "928603313",
"telephone_number": "858-201-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "AMI",
"middle_name": "S",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "53672",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "53672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.