Samir B Shah, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53272 Issued in CA

Practice address

469 W Base Line Rd
Rialto, CA 92376-3379

Phone

(909) 746-0444

Fax

(909) 746-0447

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1457412611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 W BASE LINE RD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763379",
            "telephone_number": "909-746-0444",
            "fax_number": "909-746-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 W BASE LINE RD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763379",
            "telephone_number": "909-746-0444",
            "fax_number": "909-746-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAMIR",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali Sequeira, LMFT
• Serenitylife Therapy LCSW
• Seulki Yang, DDS., Inc
• Diego H Sevilla, PHYSICIAN ASSISTANT
• Flora Mohamed F Shafiee, DPTS
• Ravindranath Vishnu Shahane, M.D.
• Matthew Eric Shamlin, LMFT
• Ahmed Esam Shehata
• Shannon Shieh
• Julie Chien Shih, DDS

• General Practice Dentistry in Rialto, CA
• Providers in Rialto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.