Individual provider Active NPI

Shrijana Shakya, DDS

  • Dentist
  • Concord, CA
National Provider Identifier
1952849408
Registry record updated Feb 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101158 Issued in CA
Practice address
4232 Saint Paul Way
Apt 202
Concord, CA 94518-1892
Phone
(334) 557-9134
NPI assigned
Feb 4, 2017
Last updated
Feb 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101158 CA Primary

Addresses

Primary practice location

4232 Saint Paul Way
Apt 202
Concord, CA 94518-1892

Mailing address

4232 Saint Paul Way
Apt 202
Concord, CA 94518-1892
Phone (334) 557-9134

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170419002768 CA Order and Referring Only - DentistPractitioner - Dentist 5698051076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101158CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shrijana Shakya DDS Inc Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486166400000",
    "number": "1952849408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 SAINT PAUL WAY",
            "address_2": "APT 202",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181892",
            "telephone_number": "334-557-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 SAINT PAUL WAY",
            "address_2": "APT 202",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181892",
            "telephone_number": "334-557-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKYA",
        "first_name": "SHRIJANA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-04",
        "last_updated": "2017-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.