Jitendra S. Shah, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100046 Issued in CA

Practice address

10561 Merritt St
Castroville, CA 95012-3310

Phone

(831) 633-1514

NPI assigned

Nov 2, 2006

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jitendra.shah.p1@direct.csvs.nextgenshare.com

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

• Saumil Patel DDS PC

  dba Woodhaven Family Dental

  • Dentist
  • Woodhaven, NY
  • NPI 1093125718
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1922186162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212043",
            "telephone_number": "718-847-3300",
            "fax_number": "718-850-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 MERRITT ST",
            "city": "CASTROVILLE",
            "state": "CA",
            "postal_code": "950123310",
            "telephone_number": "831-633-1514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8613 Jamaica Ave",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "NY",
            "postal_code": "114212043",
            "country_code": "US",
            "telephone_number": "718-847-3300",
            "fax_number": "718-850-8865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JITENDRA",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "35673",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00572523",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lita Pennington-Williams
• Liliana Perez-Ordaz, PPS
• Tamara Quiroz
• Erardo Rodriguez Bautista, MD
• Jennylyn Santiago, MS
• Cassandra Shaw
• Patricia Toporcer
• Alyssa Torres
• Nathaniel Tsai
• Cheri Lynn Tuttle Callis, L.AC.

• General Practice Dentistry in Castroville, CA
• Providers in Castroville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.