Shah Jolly DDS Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHAH JOLLY DDS DENTAL CORPORATION

Practice address

1761 E Capitol Expy
San Jose, CA 95121-1561

Phone

(408) 223-2500

Fax

(408) 223-5525

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Jolly Shah, DDSNPI 1063412054

Title

President/Dentist

Phone

(408) 223-2500

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jolly Shah, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1063412054
  NPD Authorized official
• Laura C.H. Lam, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1306967989
  NPD (past)
• Tin Duy Lam, D.D.S.

  • General Practice Dentistry
  • Harrisburg, NC
  • NPI 1508987181
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1841722337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44240 REVERE PL",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395902",
            "telephone_number": "510-520-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 E CAPITOL EXPY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211561",
            "telephone_number": "408-223-2500",
            "fax_number": "408-223-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH JOLLY DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JOLLY",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "408-223-2500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44775",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherwin Shabdar
• Roy Michael Shackel, MSW, ASW
• Catherine Shaddy
• Shaelee T Nguyen King Dentistry
• Shah and Karia Dental Corporation (Bonaventura Dental Care)
• Aditi Saran Shah, AMFT
• Akshat Shah, MD
• Akshay Mahesh Shah, M.D.
• Anita Shah, RDA
• Anjali Shah

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 Oct 12, 2022; 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.