Organization Active NPI

Vikramkumar H Shah D.D.S Inc

  • Dentist
  • San Fernando, CA
National Provider Identifier
1649604935
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VIKRAMKUMAR H SHAH D.D.S INC
Practice address
907 Truman St
San Fernando, CA 91340-3316
Phone
(818) 365-0605
Fax
(818) 365-5305
NPI assigned
Aug 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Vikram Shah, D.D.S
Title
President/Dentist
Phone
(818) 365-0605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

907 Truman St
San Fernando, CA 91340-3316

Mailing address

907 Truman St
San Fernando, CA 91340-3316
Phone (818) 365-0605

Other identifiers 1

IdentifierTypeStateIssuer
1932317005OtherCADENTICAL

National Provider Directory

National Provider Directory

Locations

907 Truman St
San Fernando, CA 91340
Phone (818) 365-0605

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1649604935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 TRUMAN ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403316",
            "telephone_number": "818-365-0605",
            "fax_number": "818-365-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 TRUMAN ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403316",
            "telephone_number": "818-365-0605",
            "fax_number": "818-365-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKRAMKUMAR H SHAH D.D.S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "818-365-0605",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "1932317005",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.