Active NPI
Maurice None Shahon, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- La Jolla, CA
National Provider Identifier
1386981876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 18628
- Practice address
- 932 Newkirk Dr
La Jolla, CA 92037-6830 - Phone
- (858) 456-0088
- Fax
- (858) 456-2133
- NPI assigned
- Jan 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 18628 | CA | Primary |
Addresses
Primary practice location
932 Newkirk Dr
La Jolla, CA 92037-6830
Mailing address
932 Newkirk Dr
La Jolla, CA 92037-6830
Phone (858) 456-0088
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18628 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1386981876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 NEWKIRK DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920376830",
"telephone_number": "858-456-0088",
"fax_number": "858-456-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 NEWKIRK DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920376830",
"telephone_number": "858-456-0088",
"fax_number": "858-456-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHON",
"first_name": "MAURICE",
"middle_name": "NONE",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-03",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "18628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.