Organization Active NPI

Elevo Dental

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1730030453
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELEVO DENTAL
Practice address
1429 College Ave Ste H
Modesto, CA 95350-4046
Phone
(323) 600-5277
NPI assigned
Feb 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Authorized official

Name
Krina Shah, DR.NPI 1982474375
Title
Dentist/Ceo
Phone
(323) 600-5277

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1429 College Ave Ste H
Modesto, CA 95350-4046

Mailing address

1429 College Ave Ste H
Modesto, CA 95350-4046

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1770422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770422400000",
    "number": "1730030453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 COLLEGE AVE STE H",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 COLLEGE AVE STE H",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504046",
            "telephone_number": "323-600-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-07",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KRINA",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "323-600-5277",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; 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.