Shetty Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHETTY DENTAL CORPORATION

Practice address

17188 Colima Rd
Suite B
Hacienda Heights, CA 91745-6787

Phone

(626) 581-7878

Fax

(626) 581-7877

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Swati Shetty, DDSNPI 1619178969

Title

Owner Doctor

Phone

(626) 581-7878

Specialties & licenses 1

Addresses

Other names 1

• Tri-City Smiles Dental Group Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Swati Shetty, DDS

  • General Practice Dentistry
  • Hacienda Heights, CA
  • NPI 1619178969
  NPD (past) Authorized official
• Susan Moon Lee, DDS

  • Dentist
  • Buena Park, CA
  • NPI 1477074813

  General Practice

  NPD (past)
• Danny Wu, DMD

  • Dentist
  • Baldwin Park, CA
  • NPI 1770940421
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1720266554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17188 COLIMA RD",
            "address_2": "SUITE B",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456787",
            "telephone_number": "626-581-7878",
            "fax_number": "626-581-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHETTY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "SWATI",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "626-581-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-City Smiles Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shang Wu M.D., Inc.
• Shanqing Medical Inc
• Sharon Yu
• Victor Sheaffer
• Jimmy Yue Ming Shern, DMD
• Swati Shetty, DDS
• Chun-Chieh Jack Shih, O.D.
• Shin-Fu Hsu MD a PC
• Ali Shmara, DMD
• Jennifer Wayne Siu, OTR/L

• General Practice Dentistry in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.