Kiran K Shah, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48014 Issued in CA

Practice address

14031 Huntervale Dr
Corona, CA 92880-3804

Phone

(951) 737-6004

Fax

(951) 737-6004

NPI assigned

Sep 15, 2006

Last updated

Mar 5, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kshah@direct.westerndental.com

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1639275050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14031 HUNTERVALE DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803804",
            "telephone_number": "951-737-6004",
            "fax_number": "951-737-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14031 HUNTERVALE DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803804",
            "telephone_number": "951-737-6004",
            "fax_number": "951-737-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KIRAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Seward
• Manouchehr Seyfzadeh, M.D., PH.D.
• SG Homecare,Inc. (Stance Health Solutions)
• Ahmed A Shaalan
• Priti Shah-Mistry, PSY.D.
• Krutika Anish Shah, D.D.S.
• Mital Shah, DO
• Neal Shah, D.M.D.
• Pooja V Shah, DDS
• Praharsh Shah, PHARMD

• General Practice Dentistry in Corona, CA
• Providers in Corona, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.