Organization Active NPI

Shavetadental Inc

  • Dentist
  • Milpitas, CA
National Provider Identifier
1629434816
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63002 Issued in CA
Legal business name
SHAVETADENTAL INC
Practice address
1295 S Park Victoria Dr
Milpitas, CA 95035-6911
Phone
(408) 368-8371
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Mrs. Shaveta Kumar
Title
Ceo
Phone
(408) 368-8371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 63002 CA Primary

Addresses

Primary practice location

1295 S Park Victoria Dr
Milpitas, CA 95035-6911

Mailing address

1295 S Park Victoria Dr
Milpitas, CA 95035-6911
Phone (408) 368-8371

National Provider Directory

National Provider Directory

Locations

1295 S Park Victoria Dr
Milpitas, CA 95035
Phone (408) 368-8371

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1629434816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 S PARK VICTORIA DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356911",
            "telephone_number": "408-368-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 S PARK VICTORIA DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356911",
            "telephone_number": "408-368-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVETADENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SHAVETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-368-8371",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.