Organization Active NPI

Shahenaz Kamal Ahmed, DDS, a Professional Corporation

  • Dentist
  • Whittier, CA
National Provider Identifier
1669576955
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42512 Issued in CA
Legal business name
SHAHENAZ KAMAL AHMED, DDS, A PROFESSIONAL CORPORATION
Practice address
14350 Whittier Blvd
St 210
Whittier, CA 90605-2103
Phone
(562) 789-8515
Fax
(562) 789-8505
NPI assigned
Sep 8, 2006
Last updated
Feb 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Dr. Shahenaz Kamal Ahmed, DDSNPI 1457795544
Title
Dentist
Phone
(562) 789-8515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 42512 CA Primary

Addresses

Primary practice location

14350 Whittier Blvd
St 210
Whittier, CA 90605-2103

Mailing address

PO Box 9325
Whittier, CA 90608-9325
Phone (562) 789-8515

Other identifiers 1

IdentifierTypeStateIssuer
B42512-01OtherCADENTICEL

Other names 1

  • Whittier Family Dental Center Other name

National Provider Directory

National Provider Directory

Locations

12826 Philadelphia St
Ste B
Whittier, CA 90601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1669576955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9325",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906089325",
            "telephone_number": "562-789-8515",
            "fax_number": "562-789-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 WHITTIER BLVD",
            "address_2": "ST 210",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052103",
            "telephone_number": "562-789-8515",
            "fax_number": "562-789-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHENAZ KAMAL AHMED, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHAHENAZ",
        "authorized_official_middle_name": "KAMAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "562-789-8515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICEL",
            "identifier": "B42512-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whittier Family Dental Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Whittier Family Dental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.