Organization Active NPI

Shalaby Professional Dental Corporation

  • Dentist
  • Laguna Hills, CA
National Provider Identifier
1518711191
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHALABY PROFESSIONAL DENTAL CORPORATION
Practice address
24953 Paseo de Valencia Ste 2C
Laguna Hills, CA 92653-4337
Phone
(949) 496-5713
NPI assigned
Apr 11, 2024
Organization subpart
Yes
Parent organization
SHALABY PROFESSIONAL DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Tamer Shalaby, DDSNPI 1770771560
Title
Owner
Phone
(949) 496-5713

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

24953 Paseo de Valencia Ste 2C
Laguna Hills, CA 92653-4337

Mailing address

24953 Paseo de Valencia Ste 2C
Laguna Hills, CA 92653-4337
Phone (949) 496-5713

National Provider Directory

National Provider Directory
Part of
Shalaby Professional Dental Corporation

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1518711191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA STE 2C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534337",
            "telephone_number": "949-496-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA STE 2C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534337",
            "telephone_number": "949-496-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALABY PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHALABY PROFESSIONAL DENTAL CORPORATION",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "SHALABY",
        "authorized_official_first_name": "TAMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-496-5713",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.