David Street Shirecliffe, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108456 Issued in CA

Practice address

425 Pine St Ste 3
Galt, CA 95632-2055

Phone

(209) 745-4607

NPI assigned

Aug 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shirecliffe Dental Corporation

  • General Practice Dentistry
  • Galt, CA
  • NPI 1295570372
  NPD Authorized official
• Mauna Family Dental

  • Dental Clinic/Center
  • Hilo, HI
  • NPI 1013683358
  NPD

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1376218065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PONAHAWAI ST STE 201",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203075",
            "telephone_number": "808-935-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PINE ST STE 3",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956322055",
            "telephone_number": "209-745-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRECLIFFE",
        "first_name": "DAVID",
        "middle_name": "STREET",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108456",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-2934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Schneider, RADT
• Marina Serrano
• Arti Sharma, PHARM.D.
• Kira Elyse Shimozaki
• Shirecliffe Dental Corporation
• Sirak Workneh DDS,Inc.
• John Solorzano
• Rita P. Soria
• Hugo Sosa, SUDCC II # 7329
• Vanessa Sosa

• General Practice Dentistry in Galt, CA
• Providers in Galt, 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 Jan 6, 2023; 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.