NPIMap

Organization Active NPI

Shiro Ego, DDS, Inc.

  • Dentist
  • Fresno, CA
National Provider Identifier
1841405735
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38274 Issued in CA
Legal business name
SHIRO EGO, DDS, INC.
Practice address
373 E Warner Ave,
Suite 101
Fresno, CA 93710-3741
Phone
(559) 437-0553
Fax
(559) 437-0563
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Tamie Ego, D,D,S,NPI 1912307133
Title
President
Phone
(559) 437-0553

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 38274 CA Primary

Addresses

Primary practice location

373 E Warner Ave,
Suite 101
Fresno, CA 93710-3741

Mailing address

373 E. Warner Ave.,
Suite 101
Fresno, CA 93710-3710
Phone (559) 437-0553

National Provider Directory

National Provider Directory

Locations

373 E Warner Ave
Ste 101
Fresno, CA 93710
Phone (559) 437-0553

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1841405735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 E. WARNER AVE.,",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103710",
            "telephone_number": "559-437-0553",
            "fax_number": "559-437-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 E WARNER AVE,",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103741",
            "telephone_number": "559-437-0553",
            "fax_number": "559-437-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRO EGO, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "EGO",
        "authorized_official_first_name": "TAMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-437-0553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,D,S,"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.