Organization Active NPI

Uday N Shah DDS Inc.

  • General Practice Dentistry
  • Chino Hills, CA
National Provider Identifier
1356801500
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UDAY N SHAH DDS INC.
Practice address
14708 Pipeline Ave Ste a
Chino Hills, CA 91709-1296
Phone
(909) 606-4337
Fax
(909) 606-3223
NPI assigned
Mar 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Dr. Uday Nandlal Shah, DDS, ASSO. AAIDNPI 1750455549
Title
President
Phone
(909) 606-4337

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14708 Pipeline Ave Ste a
Chino Hills, CA 91709-1296

Mailing address

14708 Pipeline Ave Ste a
Chino Hills, CA 91709-1296
Phone (909) 606-4337

Other names 1

  • Sunny Family Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200429000147 CA Part B Supplier - Clinic/Group Practice 6406286756 Receives reassigned benefits from 1 practitioner
Practice locations: Chino Hills, CA

National Provider Directory

National Provider Directory

Locations

14708 Pipeline Ave
Ste A
Chino Hills, CA 91709
Phone (909) 606-4337

Practitioners & affiliated clinicians

Practitioners 1

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": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1356801500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14708 PIPELINE AVE STE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091296",
            "telephone_number": "909-606-4337",
            "fax_number": "909-606-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14708 PIPELINE AVE STE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091296",
            "telephone_number": "909-606-4337",
            "fax_number": "909-606-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDAY N SHAH DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "UDAY",
        "authorized_official_middle_name": "NANDLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-606-4337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, ASSO. AAID"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.