Active NPI
Tamer Shalaby, D.D.S.
- General Practice Dentistry
- Laguna Hills, CA
National Provider Identifier
1770771560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55911
- Practice address
- 24953 Paseo de Valencia Ste 2C
Laguna Hills, CA 92653-4337 - Phone
- (949) 441-5617
- NPI assigned
- Oct 5, 2007
- Last updated
- Jan 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55911 | CA | Primary |
Addresses
Primary practice location
24953 Paseo de Valencia Ste 2C
Laguna Hills, CA 92653-4337
Mailing address
24953 Paseo de Valencia Ste 2C
Laguna Hills, CA 92653-4337
Phone (949) 441-5617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55911 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shalaby Professional Dental Corporation | Current | Accepting new patients | |
| Dana Point Smiles | General Practice | Past | Accepting new patients |
| Tamer Shalaby DDS Inc | Past | Accepting new patients |
Locations
24953 Paseo de Valencia
Ste 2C
Laguna Hills, CA 92653
Phone (949) 441-5617
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Laguna Hills, CA
- NPI 1518711191
-
- Dental Clinic/Center
- Laguna Hills, CA
- NPI 1760091383
-
- General Practice Dentistry
- Dana Point, CA
- NPI 1912306721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1770771560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA STE 2C",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534337",
"telephone_number": "949-441-5617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA STE 2C",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534337",
"telephone_number": "949-441-5617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALABY",
"first_name": "TAMER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-05",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
- Shahinian Espeleta Pulmonary Associates Incorporated (Saddleback Pulmonary Associates)
- Liana Shahinyan
- Shahriar Alikhani MD Inc
- Shalaby Professional Dental Corporation
- Shalaby Professional Dental Corporation
- Shamlou and Associates Psychological Services
- Shanti Orange County
- Shanti Orange County
- Shanti Psychological Corporation
- Xiaohong S Shao, L.AC.,OMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.