Eddy Shea, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37337 Issued in CA

Practice address

3785 Alton Pkwy
Irvine, CA 92606-8293

Phone

(949) 475-1898

Fax

(949) 475-1930

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dentireal Inc.

  • Dentist
  • Riverside, CA
  • NPI 1205229234
  NPD Authorized official
• Dentireal, Inc.

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1215063383
  Authorized official Same address or phone

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457461691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 ALTON PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068293",
            "telephone_number": "949-475-1898",
            "fax_number": "949-475-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 ALTON PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068293",
            "telephone_number": "949-475-1898",
            "fax_number": "949-475-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "EDDY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn H. Hamilton, M.D.,Inc.
• Shawn H. Hamilton, M.D.,Inc.
• Kaitlyn Shay
• Farzad Shaygan, D.D.S.
• Yuhong She, M.D.
• Makayla Shean
• Yara Sheet
• Syndi Lisa Shefer, M.S
• Shyemaa Shehata
• Perry Behrooz Sheidayi, D.O.

• General Practice Dentistry in Irvine, CA
• Providers in Irvine, 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 Jul 8, 2007; 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.