Active NPI
Maulik Shah,DDS, Inc
- Dental Clinic/Center
- Riverbank, CA
National Provider Identifier
1962918862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MAULIK SHAH,DDS, INC
- Doing business as
- Riverbank Modern Dentistry
- Practice address
- 2603 Patterson Rd Ste 5
Riverbank, CA 95367-3407 - Phone
- (209) 315-6300
- Fax
- (209) 315-6363
- NPI assigned
- Dec 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maulik Mahendrabhai Shah, DDS
- Title
- President/Ceo
- Phone
- (209) 247-3307
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2603 Patterson Rd Ste 5
Riverbank, CA 95367-3407
Mailing address
4116 Dragoo Park Dr
Modesto, CA 95356-1860
Phone (209) 247-3307
Other names 1
- Riverbank Modern Dentistry
National Provider Directory
National Provider DirectoryLocations
2603 Patterson Rd
Ste 5
Riverbank, CA 95367
Phone (209) 315-6300
8014 Lower Sacramento Rd
Ste B
Stockton, CA 95210
Phone (209) 478-9999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Riverbank, CA
- NPI 1851453542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783036800000",
"number": "1962918862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4116 DRAGOO PARK DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953561860",
"telephone_number": "209-247-3307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 PATTERSON RD STE 5",
"city": "RIVERBANK",
"state": "CA",
"postal_code": "953673407",
"telephone_number": "209-315-6300",
"fax_number": "209-315-6363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAULIK SHAH,DDS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-14",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "MAULIK",
"authorized_official_middle_name": "MAHENDRABHAI",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "209-247-3307",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverbank Modern Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.