Individual provider Active NPI

Ajit Shokar, D.D.S.

  • Dentist
  • Roseville, CA
National Provider Identifier
1376929455
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64871 Issued in CA
Practice address
125 Ascot Dr
Suite D
Roseville, CA 95661-3408
Phone
(530) 777-6052
NPI assigned
Jul 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64871 CA Primary

Addresses

Primary practice location

125 Ascot Dr
Suite D
Roseville, CA 95661-3408

Mailing address

1560 Hazel Ave
Yuba City, CA 95993-6402
Phone (530) 777-6052

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

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1376929455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 HAZEL AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959936402",
            "telephone_number": "530-777-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ASCOT DR",
            "address_2": "SUITE D",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613408",
            "telephone_number": "530-777-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKAR",
        "first_name": "AJIT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.