Organization Active NPI

Henry Shafajoo, DDS Inc

  • General Practice Dentistry
  • Bellflower, CA
National Provider Identifier
1861542367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42607 Issued in CA
Legal business name
HENRY SHAFAJOO, DDS INC
Practice address
17615 Lakewood Blvd
Bellflower, CA 90706-6409
Phone
(562) 408-1447
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Henry Shafajoo
Title
Owner
Phone
(562) 408-1447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 42607 CA Primary

Addresses

Primary practice location

17615 Lakewood Blvd
Bellflower, CA 90706-6409

Mailing address

17615 Lakewood Blvd
Bellflower, CA 90706-6409
Phone (562) 408-1447

National Provider Directory

National Provider Directory
Tax ID family
Henry Shafajoo DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861542367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17615 LAKEWOOD BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066409",
            "telephone_number": "562-408-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17615 LAKEWOOD BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066409",
            "telephone_number": "562-408-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY SHAFAJOO, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFAJOO",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-408-1447"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.