Individual provider Active NPI

Shivani Karre, DDS

  • Prosthodontics
  • San Bernardino, CA
National Provider Identifier
1669065850
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
296 Issued in CA
Practice address
159 W Hospitality LN
San Bernardino, CA 92408-3348
Phone
(909) 558-4960
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 296 CA Primary

Addresses

Primary practice location

159 W Hospitality LN
San Bernardino, CA 92408-3348

Mailing address

11092 Anderson St
Loma Linda, CA 92350-1706

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Lomalinda Health Information Exchange (HIE)
CONNECT URL skarre@llu.edu LLU FACULTY DENTAL OFFICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
296CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1669065850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11092 ANDERSON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 W HOSPITALITY LN",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083348",
            "telephone_number": "909-558-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARRE",
        "first_name": "SHIVANI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Lomalinda",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Loma Linda University",
            "address_1": "11092 Anderson St",
            "city": "Loma Linda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923501706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "skarre@llu.edu",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "LLU FACULTY DENTAL OFFICE",
            "address_1": "159 W Hospitality Ln",
            "city": "San Bernardino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "924083348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.