Shbeena Shah, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103939 Issued in CA

Practice address

1975 Garnet Ave Ste E
San Diego, CA 92109-3594

Phone

(858) 866-0808

NPI assigned

Jul 5, 2019

Last updated

Jul 5, 2019By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minh B Pham Dental Corporation

  dba PB Smiles Dentistry Dental Group

  • Dentist
  • San Diego, CA
  • NPI 1558778662
  NPD (past)

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1659933026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4473 VIA PASEAR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 GARNET AVE STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093594",
            "telephone_number": "858-866-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHBEENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritesh Shah, D.D.S
• Samir S Shah, M.D.
• Sarita Shah, MD, PHD
• Seema D. Shah, M.D.
• Shailja Chandresh Shah, MD
• Shivani Pankaj Shah, PHARM.D., R.PH.
• Sunit Rajit Shah, DO
• Tara Marie Shah, DACM, LAC
• Vidisha Ketanbhai Shah
• Virag Jagdish Shah, M.D.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 5, 2019; 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.