Seyed Ali Shafie, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39333 Issued in CA

Practice address

1010 E Chapman Ave
Fullerton, CA 92831-3812

Phone

(714) 526-2828

Fax

(714) 526-2834

NPI assigned

Feb 27, 2007

Last updated

Mar 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 2K Fullerton Dental

  dba Fullerton Craft Smiles Dental

  • Dentist
  • Fullerton, CA
  • NPI 1639573199
  NPD (past)
• Johnny Kim DDS Inc

  • General Practice Dentistry
  • Fullerton, CA
  • NPI 1457603946
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1780711622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313812",
            "telephone_number": "714-526-2828",
            "fax_number": "714-526-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313812",
            "telephone_number": "714-526-2828",
            "fax_number": "714-526-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIE",
        "first_name": "SEYED",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seung C Son DDS, Inc
• Alondra Sevilla Buenrostro
• Katrina Sevilla
• Sasha G Sewell
• Jasmnie Shad
• Adam Shah, PHARMD
• Amit Shah, DDS
• Bhavi K Shah, D.D.S.
• Himkala Shah
• Jayshree Narendra Shah, DDS

• General Practice Dentistry in Fullerton, CA
• Providers in Fullerton, 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 Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.