NPIMap

Organization Active NPI

Shikha Banerjee DDS Inc

  • Dental Clinic/Center
  • Corona, CA
National Provider Identifier
1386980589
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SHIKHA BANERJEE DDS INC
Practice address
2097 Compton Ave.
BLDG 1 Ste 102
Corona, CA 92881-6665
Phone
(951) 273-0555
Fax
(951) 273-1555
NPI assigned
Dec 17, 2012
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Shikha Banerjee, DDSNPI 1619171733
Title
President
Phone
(951) 273-0555

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2097 Compton Ave.
BLDG 1 Ste 102
Corona, CA 92881-6665

Mailing address

2097 Compton Ave.
BLDG 1 Ste 102
Corona, CA 92881-6665
Phone (951) 273-0555

Other names 1

  • Canyon Dental Other name

National Provider Directory

National Provider Directory

Locations

2097 Compton Ave
Ste 102
Corona, CA 92881
Phone (951) 273-0555

Practitioners & affiliated clinicians

Practitioners 1

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": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1386980589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2097 COMPTON AVE.",
            "address_2": "BLDG 1 STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816665",
            "telephone_number": "951-273-0555",
            "fax_number": "951-273-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 COMPTON AVE.",
            "address_2": "BLDG 1 STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816665",
            "telephone_number": "951-273-0555",
            "fax_number": "951-273-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIKHA BANERJEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "BANERJEE",
        "authorized_official_first_name": "SHIKHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-273-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.