NPIMap

Organization Active NPI

Dhaval Shah DDS Inc

  • Oral and Maxillofacial Surgery Clinic/Center
  • Highland, CA
National Provider Identifier
1356868566
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
47176 Issued in CA
Legal business name
DHAVAL SHAH DDS INC
Practice address
28942 Greenspot Rd
Highland, CA 92346-4423
Phone
(909) 864-2002
NPI assigned
Aug 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dhaval M Shah, DDSNPI 1750499182
Title
Owner
Phone
(909) 864-2002

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 47176 CA Primary

Addresses

Primary practice location

28942 Greenspot Rd
Highland, CA 92346-4423

Mailing address

28942 Greenspot Rd
Highland, CA 92346-4423
Phone (909) 864-2002

National Provider Directory

National Provider Directory

Locations

28942 Greenspot Rd
Highland, CA 92346
Phone (909) 864-2002

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356868566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28942 GREENSPOT RD",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923464423",
            "telephone_number": "909-864-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28942 GREENSPOT RD",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923464423",
            "telephone_number": "909-864-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHAVAL SHAH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DHAVAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-864-2002",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "47176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.