Active NPI
Shivani Karre, DDS
- Prosthodontics
- San Bernardino, CA
National Provider Identifier
1669065850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 296
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 296 | CA | MD | Professional 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
- Karia & Makadia DDS a Professional Corporation
- Atul V Karia, D.D.S.
- Parth Shailesh Karia, D.M.D., M.A., B.S.
- Georgios Kimon Karnesis
- Mikaela Nicole Karpinski, LCSW
- Lusiana Kartawidjaja, M.D.
- Lindsey Mon'Chai As'Ia Kartier, ASW135737
- Tilan Karunanayake
- Kasey David Licensed Clinical Social Worker, Inc. (Kasey & Co. Therapy Group)
- Kasey David Licensed Clinical Social Worker, Inc.
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.