PRATIK SHAH DDS INC. (NPI# 1457422644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457422644 |
| Entity Type | Organization |
| Organization Name | PRATIK SHAH DDS INC. |
| Practice Address |
9415 Mission Blvd Ste# L Riverside CA 92509-2600 |
| Practice Telephone | 9516858500 |
| Practice Fax Number | 9516858488 |
| Mailing Telephone | 9516858500 |
| Mailing Fax Number | 9516858488 |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PRATIK M SHAH (PRESIDENT) |
| Authorized Official Telephone | 9516858500 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
46959 | CA | Dental Providers |
| Street Address |
9415 MISSION BLVD STE# L |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92509-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493288 | County of Riverside-community Health Agency | Pediatrics | 9415 Mission Blvd, Riverside, CA 92509-2600 | 2005-11-04 |
| 1639637895 | Cheng Yi Teng Yen | Marriage & Family Therapist | 9415 Mission Blvd, Riverside, CA 92509-2661 | 2019-03-06 |
| 1073088225 | Walter Ernesto Hernandez | Nurse Practitioner | 9415 Mission Blvd, Riverside, CA 92509-2661 | 2018-10-03 |
| 1124229612 | Kathlene Marie Everhart | Physician Assistant | 9415 Mission Blvd, Riverside, CA 92509-2600 | 2007-05-30 |
| 1831261155 | Geoffrey Won-chen Leung | Family Medicine | 9415 Mission Blvd, Riverside, CA 92509-2600 | 2006-11-14 |
| 1396859237 | County of Riverside- Community Health Agency | Family Medicine | 9415 Mission Blvd, Riverside, CA 92509-2600 | 2006-08-18 |
| 1437162005 | Yukuen Chung | Family Medicine | 9415 Mission Blvd, Riverside, CA 92509-2600 | 2006-08-14 |
| 1245243815 | Martha A Chong | Pediatrics | 9415 Mission Blvd, Riverside, CA 92509-2600 | 2006-08-14 |
| 1053321182 | County of Riverside- Community Health Agency | Family Medicine | 9415 Mission Blvd, Riverside, CA 92509-2600 | 2006-08-09 |
| 1396751939 | Pratik M Shah | Dentist | 9415 Mission Blvd, Ste# L, Riverside, CA 92509-2600 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
| 1043646383 | Andy R Moreno | Counselor | 7790 Big Rock Dr., Riverside, CA 92509 | 2013-09-18 |
| 1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
| 1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
| 1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
| 1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
| 1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
| 1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
| 1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| Find all providers in zip 92509 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932710522 | Fadi Demian | Dentist | 8990 Garfield St Ste 4, Riverside, CA 92503-3922 | 2020-08-16 |
| 1942819966 | Aaron Michael Coyoca | Dentist | 5051 Canyon Crest Dr Ste 103, Riverside, CA 92507-6035 | 2020-07-26 |
| 1205452265 | Av Family Dentistry | Dentist | 2211 University Ave, Riverside, CA 92507-4259 | 2020-06-24 |
| 1821619966 | Dr Paz Casanova Dental Group Inc | Dentist | 8151 Arlington Ave Ste R, Riverside, CA 92503-0437 | 2020-04-29 |
| 1700439668 | Sumin Kang | Dentist | 19040 Van Buren Blvd Ste 111, Riverside, CA 92508-9160 | 2019-07-19 |
| 1295397107 | Cole Cameron Scott | Dentist | 3731 Tibbetts St Ste 1, Riverside, CA 92506-2604 | 2019-07-01 |
| 1457912040 | Kashif Ahmed | Dentist | 19510 Van Buren Blvd Ste F5, Riverside, CA 92508-9458 | 2019-06-24 |
| 1831652197 | Christina Bui | Dentist | 3602 Riverside Plaza Dr Ste 101, Riverside, CA 92506-2726 | 2019-04-12 |
| 1558846725 | Riverside Family Dental, LLC | Dentist | 1445 Wampanoag Trl Unit 209, Riverside, RI 02915-1019 | 2018-10-03 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.