Joseph Anthony Shilkofski, D.M.D

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

57892 Issued in CA

Practice address

24432 Muirlands Blvd Ste 123
Lake Forest, CA 92630-3939

Phone

(949) 419-5506

NPI assigned

Aug 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

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.

• Innovative Dental Solutions, LLC

  • Dental Clinic/Center
  • Zephyr Cove, NV
  • NPI 1699367110
  NPD (past)

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1477700581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27735 BLOSSOM HILL RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926776029",
            "telephone_number": "949-419-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24432 MUIRLANDS BLVD STE 123",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303939",
            "telephone_number": "949-419-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILKOFSKI",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57892",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "57892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane S Doney Chiropractic Corporation
• Shihying Sherry Shaw, PSY.D.
• Tricia Shelton, P.T.A
• Shervin Ahmadnia DDS Inc
• Andrew Beihong Shi, DDS
• James Hyungjin Shin, DDS
• Jane Shin
• Ramin P Shirazi III
• Leeron Shtainman, LCSW
• Karen Dianne Siazon, RPH

• Endodontics in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.