Organization Active NPI

Shashi M. Kapur

  • Pediatric Dentistry
  • Chandler, AZ
National Provider Identifier
1891848958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D3801 Issued in AZ
Legal business name
SHASHI M. KAPUR
Practice address
600 S Dobson Rd
Ste. C-18
Chandler, AZ 85224-5678
Phone
(480) 820-6778
Fax
(480) 820-3606
NPI assigned
Jan 19, 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
Dr. Shashi M Kapur, D.D.S
Title
Owner
Phone
(480) 820-6778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X D3801 AZ Primary

Addresses

Primary practice location

600 S Dobson Rd
Ste. C-18
Chandler, AZ 85224-5678

Mailing address

600 S Dobson Rd
Ste. C-18
Chandler, AZ 85224-5678
Phone (480) 820-6778

Other identifiers 1

IdentifierTypeStateIssuer
F00359MedicaidAZ

Other names 1

  • Arizona Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

600 S Dobson Rd
Ste C18
Chandler, AZ 85224
Phone (480) 820-6778

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891848958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD",
            "address_2": "STE. C-18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245678",
            "telephone_number": "480-820-6778",
            "fax_number": "480-820-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD",
            "address_2": "STE. C-18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245678",
            "telephone_number": "480-820-6778",
            "fax_number": "480-820-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASHI M. KAPUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAPUR",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-820-6778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D3801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F00359",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

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.