Organization Active NPI

Shah & Shah Dental Practice

  • General Practice Dentistry
  • Costa Mesa, CA
National Provider Identifier
1518039098
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHAH & SHAH DENTAL PRACTICE
Practice address
440 Fair Dr
Ste R Shah & Shah Dental Practice
Costa Mesa, CA 92626
Phone
(714) 751-6856
Fax
(714) 781-6663
NPI assigned
Nov 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Pinal Shah
Title
Partner
Phone
(714) 751-6856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X CA Primary

Addresses

Primary practice location

440 Fair Dr
Ste R Shah & Shah Dental Practice
Costa Mesa, CA 92626

Mailing address

440 Fair Dr
Ste R
Costa Mesa, CA 92626
Phone (714) 751-6856

National Provider Directory

National Provider Directory

Locations

440 Fair Dr
Ste R
Costa Mesa, CA 92626
Phone (714) 751-6856

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518039098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 FAIR DR",
            "address_2": "STE R",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "714-751-6856",
            "fax_number": "714-781-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 FAIR DR",
            "address_2": "STE R SHAH & SHAH DENTAL PRACTICE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "714-751-6856",
            "fax_number": "714-781-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH & SHAH DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PINAL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "714-751-6856",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • 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.