Justin Mercer and Nida Shakil Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JUSTIN MERCER AND NIDA SHAKIL DENTAL CORPORATION

Practice address

3150 Case Rd BLDG G-2
Perris, CA 92570-5551

Phone

(951) 374-4294

Fax

(951) 384-2011

NPI assigned

Sep 2, 2021

Organization subpart

No

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

Authorized official

Name

Justin W Mercer, DDS

Title

Owner

Phone

(951) 374-4294

Specialties & licenses 1

Addresses

Other names 1

• PERRIS KIDS DENTIST DENTAL GROUP Doing business as

Locations

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1831867951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CASE RD BLDG G-2",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925705551",
            "telephone_number": "951-374-4294",
            "fax_number": "951-384-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN MERCER AND NIDA SHAKIL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-374-4294",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERRIS KIDS DENTIST DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Arleen Jones
• Oscar Jorge, ATS
• Armando Joyahernandez
• Amanda Joyner
• Dionne Louise Juarez
• Asma Kanaan
• Dalbir Kaur
• Narinder Kaur
• Golnaz Kavand
• Bobbie Rose Kearney, LCSW

• General Practice Dentistry in Perris, CA
• Providers in Perris, 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 Sep 2, 2021; 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.