Kanoknuch Shiflett, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

40303 Issued in CA

Practice address

906 S Sunset Ave Ste 105
West Covina, CA 91790-3400

Phone

(626) 480-1543

Fax

(626) 480-0622

NPI assigned

Jul 3, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kanoknuch S. Shiflett, D.D.S. Inc.

  • Pediatric Dentistry
  • West Covina, CA
  • NPI 1265624985
  NPD Authorized official
• Kanoknuch Shiflett Dental Corp

  • Pediatric Dentistry
  • West Covina, CA
  • NPI 1295215168
  NPD Authorized official

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

{
    "created_epoch": "1120348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609873876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S SUNSET AVE STE 105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903400",
            "telephone_number": "626-480-1543",
            "fax_number": "626-480-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S SUNSET AVE STE 105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903400",
            "telephone_number": "626-480-1543",
            "fax_number": "626-480-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFLETT",
        "first_name": "KANOKNUCH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "40303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ellen Sherman, M.D.
• Neil J Sherman, MD
• Jagat Shetty, MD
• Julie Shewmaker
• Jenny Shi
• Oumaima Shilleh
• Shine Medical Group Inc.
• Shinning Care
• Shirley R. Villarica, M.D. Inc.
• Jessica Shivers

• Pediatric Dentistry in West Covina, CA
• Providers in West Covina, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.