Pratik Shah DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46959 Issued in CA

Legal business name

PRATIK SHAH DDS INC.

Practice address

9415 Mission Blvd
Ste# L
Riverside, CA 92509-2600

Phone

(951) 685-8500

Fax

(951) 685-8488

NPI assigned

Nov 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Pratik M Shah, DDSNPI 1396751939

Title

President

Phone

(951) 685-8500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pratik M Shah, DDS

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1396751939
  NPD (past) Authorized official

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457422644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 MISSION BLVD",
            "address_2": "STE# L",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925092600",
            "telephone_number": "951-685-8500",
            "fax_number": "951-685-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 MISSION BLVD",
            "address_2": "STE# L",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925092600",
            "telephone_number": "951-685-8500",
            "fax_number": "951-685-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATIK SHAH DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRATIK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-685-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Prado
• Joshua D Prager, OD
• Nathaniel Soun Prak
• Marisa S Pramono, OD
• Richard D Prather, MD
• Anamaria Preciado-Iglesias, MSW
• Abram Luis Preciado
• Gabriela Preciado
• Precise Telehealth Inc
• Precise Telehealth of California, a Professional Corporation

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, 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 Aug 22, 2020; 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.