NPIMap

Organization Active NPI

A.S.Shah,DMD, Inc.

Doing business as Absolute Dental Practice

  • Dentist
  • Norco, CA
National Provider Identifier
1508268749
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53672 Issued in CA
Legal business name
A.S.SHAH,DMD, INC.
Doing business as
Absolute Dental Practice
Practice address
2641 Hamner Ave
Suite 101
Norco, CA 92860-3636
Phone
(951) 730-7770
NPI assigned
Sep 18, 2014
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Ami Shah, DMDNPI 1356530646
Title
President
Phone
(858) 201-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53672 CA Primary

Addresses

Primary practice location

2641 Hamner Ave
Suite 101
Norco, CA 92860-3636

Mailing address

2641 Hamner Ave
Suite # 101
Norco, CA 92860-3636
Phone (951) 739-7770

Other names 1

  • Absolute Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

2641 Hamner Ave
Ste 101
Norco, CA 92860
Phone (951) 730-7770

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1508268749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 HAMNER AVE",
            "address_2": "SUITE # 101",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603636",
            "telephone_number": "951-739-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 HAMNER AVE",
            "address_2": "SUITE 101",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603636",
            "telephone_number": "951-730-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.S.SHAH,DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-201-0044",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.