Jalpan Shah DDS MDS Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

51303 Issued in CA

Legal business name

JALPAN SHAH DDS MDS INC.

Practice address

1215 N Wabash Ave
Redlands, CA 92374-4963

Phone

(909) 794-5860

Fax

(909) 794-1614

NPI assigned

Jun 17, 2009

Last updated

Jun 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jalpan Manharlal Shah, DDS,MDSNPI 1750458147

Title

President

Phone

(909) 799-5656

Specialties & licenses 1

Addresses

Locations

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.

• Jalpan Manharlal Shah, D.D.S., M.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hesperia, CA
  • NPI 1750458147
  NPD (past) Authorized official

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1679700553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11872 CARDINAL CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546748",
            "telephone_number": "909-799-5656",
            "fax_number": "909-663-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N WABASH AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744963",
            "telephone_number": "909-794-5860",
            "fax_number": "909-794-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JALPAN SHAH DDS MDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JALPAN",
        "authorized_official_middle_name": "MANHARLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-799-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "51303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Redlands, CA
• Providers in Redlands, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.