NPIMap

Organization Active NPI

Elaine T Shim DDS PC

  • Clinic/Center
  • Foothill Ranch, CA
National Provider Identifier
1548728181
Registry record updated Mar 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELAINE T SHIM DDS PC
Practice address
26741 Portola Pkwy Ste 1D
Foothill Ranch, CA 92610-1762
Phone
(949) 581-4908
NPI assigned
Mar 2, 2019
Last updated
Mar 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2019

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

Authorized official

Name
Elaine Shim, DDSNPI 1679504310
Title
Owner
Phone
(702) 373-0221

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

26741 Portola Pkwy Ste 1D
Foothill Ranch, CA 92610-1762

Mailing address

19011 Antioch Dr
Irvine, CA 92603-3306

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1551484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551484800000",
    "number": "1548728181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19011 ANTIOCH DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926033306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26741 PORTOLA PKWY STE 1D",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101762",
            "telephone_number": "949-581-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE T SHIM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-02",
        "last_updated": "2019-03-02",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-373-0221",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foothill Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; 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.