Organization Active NPI

Shalini Shah DDS Inc.

  • General Practice Dentistry
  • Huntington Beach, CA
National Provider Identifier
1790173086
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51304 Issued in CA
Legal business name
SHALINI SHAH DDS INC.
Doing business as
A Kids Dentist
Practice address
6552 Bolsa Ave Ste B
Huntington Beach, CA 92647-2656
Phone
(714) 379-7755
Fax
(714) 379-1155
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Dr. Shalini Shah, D.D.S.NPI 1710009162
Title
President
Phone
(714) 379-7755

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 51304 CA Primary

Addresses

Primary practice location

6552 Bolsa Ave Ste B
Huntington Beach, CA 92647-2656

Mailing address

6552 Bolsa Ave Ste B
Huntington Beach, CA 92647-2656
Phone (714) 379-7755

Other names 1

  • A Kids Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

6552 Bolsa Ave
Ste B
Huntington Beach, CA 92647
Phone (714) 379-7755

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": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1790173086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472656",
            "telephone_number": "714-379-7755",
            "fax_number": "714-379-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472656",
            "telephone_number": "714-379-7755",
            "fax_number": "714-379-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALINI SHAH DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-379-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Kids Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.