Amit Shah D.D.S

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

49805 Issued in CA

Legal business name

AMIT SHAH D.D.S

Practice address

137 W Chapman Ave Ste a
Fullerton, CA 92832-1473

Phone

(714) 738-6001

Fax

(714) 738-0179

NPI assigned

Mar 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Amit Shah, D.D.S

Title

Owner Dentist

Phone

(714) 738-6001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Creative Smiles Doing business as

Locations

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1821529009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W. CHAPMAN AVE #A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92832",
            "telephone_number": "714-738-6001",
            "fax_number": "714-738-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W CHAPMAN AVE STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321473",
            "telephone_number": "714-738-6001",
            "fax_number": "714-738-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIT SHAH D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "714-738-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "49805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1437207701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amerily Health, PC
• Ana Patricia Amescua
• Sneha Chirag Amin
• Amina J Chaudhry DDS Inc
• Amir Reza Aminoshariae, DMD
• Richard Kenton Amo, D.D.S.
• Joy L. Amundson, NP
• Cindy Sieun An, AGPCNP-BC
• Kenneth An, An
• Ana Gallardo

• Preferred Provider Organization in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.