Organization Active NPI

Mala Sheth DDS Inc

  • Dentist
  • Torrance, CA
National Provider Identifier
1407101397
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
B33371 Issued in CA
Legal business name
MALA SHETH DDS INC
Practice address
833 W Torrance Blvd
Suite 104
Torrance, CA 90502-1735
Phone
(310) 538-3639
Fax
(310) 538-1410
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Dr. Mala D Sheth, DDS
Title
President
Phone
(310) 538-3639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X B33371 CA Primary

Addresses

Primary practice location

833 W Torrance Blvd
Suite 104
Torrance, CA 90502-1735

Mailing address

833 W Torrance Blvd
Suite 104
Torrance, CA 90502-1735
Phone (310) 538-3639

Other identifiers 1

IdentifierTypeStateIssuer
B33371MedicaidCA

National Provider Directory

National Provider Directory

Locations

833 Torrance Blvd
Ste 104
Torrance, CA 90502
Phone (310) 538-3639

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1407101397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W TORRANCE BLVD",
            "address_2": "SUITE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021735",
            "telephone_number": "310-538-3639",
            "fax_number": "310-538-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 W TORRANCE BLVD",
            "address_2": "SUITE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021735",
            "telephone_number": "310-538-3639",
            "fax_number": "310-538-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALA SHETH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "MALA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-538-3639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "B33371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B33371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.