Harin Shodhan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

B46966 Issued in CA

Practice address

11213 Palm Dr
Desert Hot Springs, CA 92240-3162

Phone

(760) 251-2666

Fax

(760) 251-7655

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Harinshodhan a Professional Dental Corp

  • General Practice Dentistry
  • Desert Hot Springs, CA
  • NPI 1780863241
  NPD (past) Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1639236870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11746 COBBLESTONE CIR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923996950",
            "telephone_number": "760-251-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11213 PALM DR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922403162",
            "telephone_number": "760-251-2666",
            "fax_number": "760-251-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHODHAN",
        "first_name": "HARIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "B46966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521923",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Sarfatty
• Deeana A Sawyer
• Christopher Allen Scott
• Madeline Shewchuk
• Robert Shields
• Keyur Shodhan, DDS
• Silas Gyimah MD Inc
• Lori B Siler
• Shannon Elizabeth Simmons
• Jaleesa Sims

• Dentist in Desert Hot Springs, CA
• Providers in Desert Hot Springs, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.