Organization Active NPI

Adams Shaffer DDS Inc

  • Pediatric Dentistry
  • Fairfield, CA
National Provider Identifier
1902374739
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ADAMS SHAFFER DDS INC
Practice address
3694 Hilborn Rd Ste 100
Fairfield, CA 94534-7994
Phone
(707) 422-5444
Fax
(707) 422-1613
NPI assigned
Nov 9, 2018
Last updated
Nov 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Authorized official

Name
Adam Shaffer, DDSNPI 1396006110
Title
Pediatric Dentist
Phone
(707) 422-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3694 Hilborn Rd Ste 100
Fairfield, CA 94534-7994

Mailing address

3694 Hilborn Rd Ste 100
Fairfield, CA 94534-7994
Phone (707) 422-5444

National Provider Directory

National Provider Directory

Locations

3694 Hilborn Rd
Ste 100
Fairfield, CA 94534
Phone (707) 422-5444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1902374739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3694 HILBORN RD STE 100",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347994",
            "telephone_number": "707-422-5444",
            "fax_number": "707-422-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 HILBORN RD STE 100",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347994",
            "telephone_number": "707-422-5444",
            "fax_number": "707-422-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS SHAFFER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "707-422-5444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.