Active NPI
Owais Shaikh, DDS
- General Practice Dentistry
- Corona, CA
National Provider Identifier
1811412059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 105659
- Practice address
- 131 W Ontario Ave Ste 102
Corona, CA 92882-5274 - Phone
- (951) 898-9700
- NPI assigned
- Aug 9, 2017
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857720 | MA | |
| General Practice Dentistry | 1223G0001X | 105659 | CA | Primary |
Addresses
Primary practice location
131 W Ontario Ave Ste 102
Corona, CA 92882-5274
Mailing address
131 W Ontario Ave Ste 102
Corona, CA 92882-5274
Phone (951) 898-9700
Other practice location 1
11 Bay State Ct
Brewster, MA 02631-2120
Phone (508) 255-0111
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210520002304 | CA | Order and Referring Only - Dentist | 7618376864 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857720 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CF Rodgers DDS Inc | General Practice | Past | Accepting new patients |
| Charles F Rodgers Dental Corporation | General Practice | Past | Accepting new patients |
| Massachusetts Dental Professionals, P.C. | Dentist | Past | Accepting new patients |
| South Shore Mental Health Center, Inc. | Past | Accepting new patients |
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.
-
dba Main Street Dental Group
- General Practice Dentistry
- Corona, CA
- NPI 1154413912
-
dba Main Street Dental Group
- General Practice Dentistry
- Corona, CA
- NPI 1245322007
-
dba East Brewster Dental
- General Practice Dentistry
- Brewster, MA
- NPI 1336394006
-
dba Aspire Health Alliance
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Quincy, MA
- NPI 1770528317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1811412059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 W ONTARIO AVE STE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928825274",
"telephone_number": "951-898-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 W ONTARIO AVE STE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928825274",
"telephone_number": "951-898-9700"
}
],
"practiceLocations": [
{
"address_1": "11 Bay State Ct",
"address_purpose": "LOCATION",
"city": "Brewster",
"state": "MA",
"postal_code": "026312120",
"country_code": "US",
"telephone_number": "508-255-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAIKH",
"first_name": "OWAIS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-09",
"last_updated": "2022-07-21",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857720",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "105659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.