Shriraj Ashok Shah, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

105180 Issued in CA

Practice address

16184 Foothill Blvd Ste K
Fontana, CA 92335-7400

Phone

(909) 770-8916

NPI assigned

Aug 12, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Shriraj Shah DDS Inc

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1093479768
  NPD Authorized official
• Shriraj Shah DDS, Inc

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1003588302
  NPD Authorized official
• Shriraj Shah Dental Corporation

  • General Practice Dentistry
  • Whittier, CA
  • NPI 1104781012
  NPD Authorized official

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1386255461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16675 SLATE DR UNIT 122",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917097402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16184 FOOTHILL BLVD STE K",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923357400",
            "telephone_number": "909-770-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHRIRAJ",
        "middle_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imran Shafi, M.D
• Shah Bhagat & Uppal a Professional Dental Corportation
• Abbid Shah, M.D.
• Dampa Nikhil Shah, MD
• Sara Marie Shah, DO, MPH
• Halima Tasneem Shahabuddin, M.D.
• Nader Shakir, DO
• Shamrock Lodge, Inc
• Nora Taher Shams, DDS
• Caitlyn Shankle Joy Shankle

• Dentist in Fontana, CA
• Providers in Fontana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.