Yen Yenta Shao, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54526 Issued in CA

Practice address

9452 Shadwell Dr
Huntington Beach, CA 92646-7212

Phone

(714) 964-5568

NPI assigned

Jul 19, 2007

Last updated

Jul 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Steven Yenta Shao Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1639379548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9452 SHADWELL DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467212",
            "telephone_number": "714-964-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9452 SHADWELL DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467212",
            "telephone_number": "714-964-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO",
        "first_name": "YEN",
        "middle_name": "YENTA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "SHAO",
            "middle_name": "YENTA",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shang DMD Dental Corporation
• Wynn Shang, DMD
• Amber Shannon, RN, BSN, CMC, HPCN
• Kathleen Noelle Shannon, M.A., .M.F.C.
• Michael J. Shannon, BC-HIS
• Barbara Elizabeth Shapiro, RN
• Jonathan Lawrence Shapiro, DMD
• Sharifian and Huston Dental Corporation (Beach Dental Group)
• Victoria Cilluffo Sharma, LCSW
• Aimee Lynn Shaw

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, 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 Jul 19, 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.