NPIMap

Organization Active NPI

David Shen Dental Corp

Doing business as Orthoworks

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Atherton, CA
National Provider Identifier
1992078984
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DAVID SHEN DENTAL CORP
Doing business as
Orthoworks
Practice address
3351 El Camino Real #222
Atherton, CA 94027
Phone
(650) 298-8800
Fax
(650) 589-1155
NPI assigned
Feb 22, 2012
Last updated
Feb 22, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID SHEN DENTAL CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Dr. David T. Shen, D.M.D.NPI 1518005024
Title
Chief Financial Officer
Phone
(650) 589-4563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X CA Primary

Addresses

Primary practice location

3351 El Camino Real #222
Atherton, CA 94027

Mailing address

883 Sneath Lane #130
San Bruno, CA 94066
Phone (650) 589-4563

Other names 1

  • Orthoworks Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David Shen Dental Corporation11 organizations share this tax ID, including this one
Part of
David Shen Dental Corporation

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

883 Sneath Ln
#130
San Bruno, CA 94066
Phone (650) 589-4563

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1992078984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 SNEATH LANE #130",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-589-4563",
            "fax_number": "650-589-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 EL CAMINO REAL #222",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "94027",
            "telephone_number": "650-298-8800",
            "fax_number": "650-589-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SHEN DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID SHEN DENTAL CORP.",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "650-589-4563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthoworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atherton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.