NPIMap

Organization Active NPI

Stromberg and Shetty Dental Corporation

Doing business as Apple Valley Smiles

  • General Practice Dentistry
  • Apple Valley, CA
National Provider Identifier
1639350119
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STROMBERG AND SHETTY DENTAL CORPORATION
Doing business as
Apple Valley Smiles
Practice address
12218 Apple Valley Rd BLDG 1
Suite 110
Apple Valley, CA 92308-1700
Phone
(760) 300-3678
Fax
(760) 247-6254
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dr. Swati Shetty, DDS
Title
Owner Doctor
Phone
(760) 300-3678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

12218 Apple Valley Rd BLDG 1
Suite 110
Apple Valley, CA 92308-1700

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other names 1

  • APPLE VALLEY SMILES Doing business as

National Provider Directory

National Provider Directory

Locations

12218 Apple Valley Rd
Ste 110
Apple Valley, CA 92308
Phone (760) 300-3678

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1639350119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12218 APPLE VALLEY RD BLDG 1",
            "address_2": "SUITE 110",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081700",
            "telephone_number": "760-300-3678",
            "fax_number": "760-247-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROMBERG AND SHETTY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "SWATI",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "760-300-3678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPLE VALLEY SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.