Shaini Shah DDS Dental Group Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHAINI SHAH DDS DENTAL GROUP INC

Doing business as

Capistrano Dental Group

Practice address

32112 Camino Capistrano
San Juan Capistrano, CA 92675

Phone

(949) 487-3273

Fax

(949) 487-0322

NPI assigned

Oct 7, 2021

Organization subpart

No

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

Authorized official

Name

Shalini Shah, DDS

Title

Dentist

Phone

(949) 487-3273

Specialties & licenses 1

Addresses

Other names 2

• Capistrano Dental Group Doing business as
• SHAINI SHAH DDS SJC INC Former legal business name

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1841952744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32112 CAMINO CAPISTRANO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753717",
            "telephone_number": "949-487-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32112 CAMINO CAPISTRANO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-487-3273",
            "fax_number": "949-487-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAINI SHAH DDS DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-487-3273",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capistrano Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHAINI SHAH DDS SJC INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Dentistry in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 21, 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.