NPIMap

Organization Active NPI

Bhavi Shah DDS, Inc

  • General Practice Dentistry
  • Norwalk, CA
National Provider Identifier
1366808479
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D55565 Issued in CA
Legal business name
BHAVI SHAH DDS, INC
Practice address
13300 San Antonio Dr
Norwalk, CA 90650-2969
Phone
(562) 863-9396
Fax
(562) 864-7436
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Dr. Bhavi Shah, DDSNPI 1720113756
Title
President
Phone
(714) 467-8587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D55565 CA Primary

Addresses

Primary practice location

13300 San Antonio Dr
Norwalk, CA 90650-2969

Mailing address

13300 San Antonio Dr
Norwalk, CA 90650-2969
Phone (562) 863-9396

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1366808479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502969",
            "telephone_number": "562-863-9396",
            "fax_number": "562-864-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502969",
            "telephone_number": "562-863-9396",
            "fax_number": "562-864-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHAVI SHAH DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BHAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-467-8587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D55565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.