Organization Active NPI

Henry Shafajoo D.D.S Inc

  • General Practice Dentistry
  • South Gate, CA
National Provider Identifier
1699984039
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42607 Issued in CA
Legal business name
HENRY SHAFAJOO D.D.S INC
Practice address
2639 Santa Ana St
South Gate, CA 90280-2025
Phone
(323) 583-1481
Fax
(323) 583-7301
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Henry Shafajoo, D.D.S
Title
Owner
Phone
(323) 583-1481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42607 CA Primary

Addresses

Primary practice location

2639 Santa Ana St
South Gate, CA 90280-2025

Mailing address

2639 Santa Ana St
South Gate, CA 90280-2025
Phone (323) 583-1481

National Provider Directory

National Provider Directory
Tax ID family
Henry Shafajoo DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1699984039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 SANTA ANA ST",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802025",
            "telephone_number": "323-583-1481",
            "fax_number": "323-583-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 SANTA ANA ST",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802025",
            "telephone_number": "323-583-1481",
            "fax_number": "323-583-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY SHAFAJOO D.D.S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "SHAFAJOO",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-583-1481",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.