Organization Active NPI

Tamer Shalaby DDS Inc

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1942641204
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55911 Issued in CA
Legal business name
TAMER SHALABY DDS INC
Practice address
2835 S Bristol St
Ste a
Santa Ana, CA 92704-6238
Phone
(714) 754-1888
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Tamer Shalaby, DDSNPI 1770771560
Title
Officer
Phone
(714) 754-1888

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 55911 CA Primary

Addresses

Primary practice location

2835 S Bristol St
Ste a
Santa Ana, CA 92704-6238

Mailing address

2835 S Bristol St
Ste a
Santa Ana, CA 92704-6238

Other names 1

  • Bristol Dental & Orthodontic Group Doing business as

National Provider Directory

National Provider Directory

Locations

2835 S Bristol St
Ste A
Santa Ana, CA 92704
Phone (714) 656-4451

Practitioners & affiliated clinicians

Practitioners 1

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": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1942641204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 S BRISTOL ST",
            "address_2": "STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 S BRISTOL ST",
            "address_2": "STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046238",
            "telephone_number": "714-754-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMER SHALABY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "SHALABY",
        "authorized_official_first_name": "TAMER",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "714-754-1888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Dental & Orthodontic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.