Active NPI
Alice R.F. Shen, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Arcadia, CA
National Provider Identifier
1619287745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- CA31705
- Practice address
- 1235 W Huntington Dr Ste D
Arcadia, CA 91007-6380 - Phone
- (626) 792-8788
- NPI assigned
- Oct 7, 2010
- Last updated
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | CA31705 | CA | Primary |
Addresses
Primary practice location
1235 W Huntington Dr Ste D
Arcadia, CA 91007-6380
Mailing address
1235 W Huntington Dr Ste D
Arcadia, CA 91007-6380
Phone (626) 792-8788
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
| License | State | Type | Specialty |
|---|---|---|---|
| CA31705 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1619287745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 W HUNTINGTON DR STE D",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910076380",
"telephone_number": "626-792-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 W HUNTINGTON DR STE D",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910076380",
"telephone_number": "626-792-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "ALICE",
"middle_name": "R.F.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "CA31705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.