Swati Manish Shirke

Primary specialty

DentistTaxonomy code 122300000X

License

54438 Issued in CA

Practice address

2500 Sycamore Dr
Antioch, CA 94509-2909

Phone

(925) 776-1142

Fax

(925) 776-1148

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: sshirke@direct.westerndental.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Western Dental Services, Inc.

  • Dentist
  • Antioch, CA
  • NPI 1649405614
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1902944820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 KEATS LN.",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94582",
            "telephone_number": "510-931-9217",
            "fax_number": "714-571-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SYCAMORE DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092909",
            "telephone_number": "925-776-1142",
            "fax_number": "925-776-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRKE",
        "first_name": "SWATI",
        "middle_name": "MANISH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D54438",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Chung Shieh, M.D
• Weilin Shih Huang, DDS
• Kristen Asako Shimoda, PHARMD
• Joyclyn Shinmoto, CP, BOCO
• Ali Shirani, DDS
• Lauren Shirvanee, D.O.
• Shobha Narasimhan Dental Corporation
• Stephanie M. Showing, DDS
• Jaspal S. Sidhu, MD
• Sohrab Singh Sidhu, MD, MPH, MS

• Dentist in Antioch, CA
• Providers in Antioch, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.