Shah and Bhakta DMD Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

55233 Issued in CA

Legal business name

SHAH AND BHAKTA DMD DENTAL CORPORATION

Practice address

14610 Hawthorne Blvd
Lawndale, CA 90260-1521

Phone

(310) 676-4746

Fax

(310) 676-0944

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Neal Shah

Title

Owner

Phone

(310) 676-4746

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1972969210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14610 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601521",
            "telephone_number": "310-676-4746",
            "fax_number": "310-676-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14610 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601521",
            "telephone_number": "310-676-4746",
            "fax_number": "310-676-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH AND BHAKTA DMD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-676-4746"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia Sanchez
• Gionnette Medina Sarino
• Sonia Sarreal
• Keith Douglas Selwa
• Tadeh Setaghian, M.D.
• Ronald S Shimohara, D.C.
• Jung Heui Shin Koh
• Wendy Alison Shubin, PA-C
• Chad Sila, M.D.
• Simon R. Go Chiropractic Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.