Organization Active NPI

Dr.Jatin P. Shah, D.D.S. , Inc.

  • General Practice Dentistry
  • La Habra, CA
National Provider Identifier
1750560744
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR.JATIN P. SHAH, D.D.S. , INC.
Practice address
1281 E la Habra Blvd
#4
La Habra, CA 90631-5600
Phone
(562) 697-3788
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Jatin Prabhudas Shah, D.D.S.
Title
Owner
Phone
(562) 697-3788

Specialties & licenses 1

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

Addresses

Primary practice location

1281 E la Habra Blvd
#4
La Habra, CA 90631-5600

Mailing address

1281 E la Habra Blvd
#4
La Habra, CA 90631-5600
Phone (562) 697-3788

Other names 1

  • AKSHAR DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

1281 E La Habra Blvd
Ste 4
La Habra, CA 90631
Phone (562) 697-3788

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1750560744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 E LA HABRA BLVD",
            "address_2": "#4",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315600",
            "telephone_number": "562-697-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 E LA HABRA BLVD",
            "address_2": "#4",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315600",
            "telephone_number": "562-697-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JATIN P. SHAH, D.D.S. , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JATIN",
        "authorized_official_middle_name": "PRABHUDAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-697-3788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AKSHAR DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.