Active NPI
Ankita Shah, D.D.S.
- General Practice Dentistry
- Fremont, CA
National Provider Identifier
1851605372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 59493
- Practice address
- 194 Francisco LN
Ste. 112
Fremont, CA 94539-7926 - Phone
- (510) 659-0130
- Fax
- (510) 659-0177
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 59493 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 12011405A | IN |
Addresses
Primary practice location
194 Francisco LN
Ste. 112
Fremont, CA 94539-7926
Mailing address
39440 Civic Center Dr
Apt. 408
Fremont, CA 94538-3285
Phone (812) 560-8056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011405A | IN | MD | General Practice Dentistry |
| 59493 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1851605372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39440 CIVIC CENTER DR",
"address_2": "APT. 408",
"city": "FREMONT",
"state": "CA",
"postal_code": "945383285",
"telephone_number": "812-560-8056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 FRANCISCO LN",
"address_2": "STE. 112",
"city": "FREMONT",
"state": "CA",
"postal_code": "945397926",
"telephone_number": "510-659-0130",
"fax_number": "510-659-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "ANKITA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "59493",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12011405A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.