Individual provider Active NPI

Shabbir Makati, DDS

  • Dentist
  • Colton, CA
National Provider Identifier
1619044823
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS036452 Issued in PA
Practice address
308 N la Cadena Dr
Colton, CA 92324-2946
Phone
(609) 742-7836
Fax
(717) 397-8881
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS036452 PA Primary

Addresses

Primary practice location

308 N la Cadena Dr
Colton, CA 92324-2946

Mailing address

308 N la Cadena Dr
Colton, CA 92324-2946
Phone (609) 742-7836

Other identifiers 3

IdentifierTypeStateIssuer
9183504OtherPADORAL DENTAL
101582421MedicaidPA
000000180471OtherPAUNISON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS036452PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1619044823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N LA CADENA DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242946",
            "telephone_number": "609-742-7836",
            "fax_number": "717-397-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N LA CADENA DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242946",
            "telephone_number": "609-742-7836",
            "fax_number": "717-397-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKATI",
        "first_name": "SHABBIR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "9183504",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101582421",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000180471",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.