Samir Shah DDS Inc

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

53272 Issued in CA

Legal business name

SAMIR SHAH DDS INC

Practice address

469 W Base Line Rd
Rialto, CA 92376-3379

Phone

(909) 746-0444

NPI assigned

Jan 26, 2018

Organization subpart

No

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

Authorized official

Name

Samir Shah, DDS

Title

Owner

Phone

(909) 746-0444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1871091645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 W BASE LINE RD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 W BASE LINE RD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763379",
            "telephone_number": "909-746-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR SHAH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-746-0444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "53272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafik Bahgat Salama Saleh, MD, MPH
• Jocelyn Monique Sales Esquivel
• Alexander Salgado
• Norieli Salgado
• Irene Salib, DMD
• Souzan Samouh, PHARMD
• San Bernardino County
• San Marcos Medical Group, Inc.
• Hercilis C Sanchez Caldas, FNP
• Angelina Bernice Sanchez

• Oral and Maxillofacial Pathology Dentistry in Rialto, CA
• Providers in Rialto, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.