Niraj V Shah, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

62410 Issued in CA

Practice address

9778 19TH St
Alta Loma, CA 91737-3538

Phone

(714) 299-7653

NPI assigned

Jun 25, 2013

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nshah@direct.westerndental.com

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.

• Shah Niraj & Megha Dental Practice, Inc.

  • Dental Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1326690173
  NPD (past) Authorized official

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1437599339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9778 19TH ST",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917373538",
            "telephone_number": "714-299-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9778 19TH ST",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917373538",
            "telephone_number": "714-299-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIRAJ",
        "middle_name": "V",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caprice Howry Schweiger, BCBA
• Leo Vic Sebbas, D.C.
• Seguy & Hernandez, a Dental Part.
• Albert Seguy, D.D.S.
• Alexis Separ
• Verdell Simon
• Smiley Homecare LLC
• Kristin Joy Smits, DDS
• Eveyln Soto
• Nicole M Sprague

• Dentist in Alta Loma, CA
• Providers in Alta Loma, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.