Organization Active NPI

Shruti Jadeja, DDS, LLC

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1639666522
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10426 Issued in OR
Legal business name
SHRUTI JADEJA, DDS, LLC
Practice address
3460 Liberty Rd S
Salem, OR 97302-4607
Phone
(503) 877-1626
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Dr. Shruti Jadeja, DDS
Title
Owner
Phone
(310) 404-7870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D10426 OR Primary

Addresses

Primary practice location

3460 Liberty Rd S
Salem, OR 97302-4607

Mailing address

3095 Troth CT SE
Salem, OR 97302-3245
Phone (310) 404-7870

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1639666522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 TROTH CT SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023245",
            "telephone_number": "310-404-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024607",
            "telephone_number": "503-877-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRUTI JADEJA, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2023-09-14",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "JADEJA",
        "authorized_official_first_name": "SHRUTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-404-7870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.