Active NPI
Misha Rahul Shah, DMD
- Dentist
- Pomona, CA
National Provider Identifier
1437847712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 109105
- Practice address
- 510 E 3Rd St Apt 301
Pomona, CA 91766-1942 - Phone
- (908) 294-5965
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Dentist | 122300000X | 109105 | CA | Primary |
Addresses
Primary practice location
510 E 3Rd St Apt 301
Pomona, CA 91766-1942
Mailing address
16250 Homecoming Dr Unit 1203
Chino, CA 91708-8819
Phone (908) 294-5965
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109105 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1437847712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16250 HOMECOMING DR UNIT 1203",
"city": "CHINO",
"state": "CA",
"postal_code": "917088819",
"telephone_number": "908-294-5965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E 3RD ST APT 301",
"city": "POMONA",
"state": "CA",
"postal_code": "917661942",
"telephone_number": "908-294-5965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "MISHA",
"middle_name": "RAHUL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "109105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.