DR. SHRUTI SHASTRY (NPI# 1164868063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164868063 |
| Entity Type | Individual |
| Full Name | DR. SHRUTI SHASTRY |
| Credential | D.M.D |
| Practice Address |
576 Pistache Ter Fremont CA 94539-8375 |
| Practice Telephone | 4088368695 |
| Mailing Telephone | 4088368695 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
59638 | CA | Dental Providers |
| Street Address |
576 PISTACHE TER |
| City | FREMONT |
| State | CA |
| Zip Code | 94539-8375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073553 | Anna Maria Lukasik | Physical Therapist | 863 Ridgevie Terrace, Fremont, CA 94539 | 2020-01-28 |
| 1295264653 | Trevor Glenn Addison | Emergency Medicine | 1620 Pajaro Ct., Fremont, CA 94539 | 2017-06-08 |
| 1194261941 | Jianying Liang | Acupuncturist | 46292 Warm Springs Blvd Unit 638, Fremont, CA 94539 | 2017-01-17 |
| 1447604525 | Infusion Express of California Inc | Clinic/Center | 43360 Mission Blvd, Suite 100, Fremont, CA 94539 | 2016-04-14 |
| 1932586989 | Kathren J Michela | Specialist/Technologist, Other | 47063 Benns Terr, Fremont, CA 94539 | 2015-04-29 |
| 1518367846 | Golder Stone International, Inc | Clinic/Center | 46249 Warm Springs Blve Suite 1, Fremont, CA 94539 | 2014-08-22 |
| 1619397858 | Yuan Si | Acupuncturist | 43433 Mission Blvd, Suite 102, Fremont, CA 94539 | 2014-04-25 |
| 1376883256 | Gifty Aidoo | Nurse Practitioner | 39654 Mission Blvd, Fremont, CA 94539 | 2013-02-28 |
| 1811243892 | Pushpa Dewanimal Jagtiani | Internal Medicine | 702 Patriot Place, Fremont, CA 94539 | 2012-07-27 |
| 1053674614 | Nishi Shahi | Pharmacist | 1934 Vinehill Circle, Fremont, CA 94539 | 2012-06-19 |
| Find all providers in zip 94539 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669948204 | Patricia Sing | Dentist | 2111 Parkside Dr Ste A, Fremont, CA 94536-5209 | 2018-10-22 |
| 1417352923 | Charlene Rocha | Dentist | 39632 Buena Vista Ter, Fremont, CA 94538-2103 | 2014-10-27 |
| 1750667812 | Evan James Vogel | Dentist | 39263 Liberty St, Fremont, CA 94538-1519 | 2011-11-02 |
| 1881851434 | Garrett Leonard Mendlik | Dentist | 1830 N Bell, Fremont, NE 68025-3161 | 2008-05-21 |
| 1013184498 | Jeffrey Y Wong | Dentist | 200 Brown Rd Ste 202, Fremont, CA 94539-7957 | 2008-05-14 |
| 1083882807 | Edwin Willson Baker | Dentist | 706 Hayes Ave, Fremont, OH 43420-2914 | 2008-02-14 |
| 1407051147 | Warren L Lee | Dentist | 38689 Stivers St, Fremont, CA 94536 | 2007-06-20 |
| 1215132485 | Sheetal K Patil | Dentist | 39572 Stevenson Pl Ste 222, Fremont, CA 94539-3112 | 2007-06-18 |
| 1699897256 | Dianne Chun | Dentist | 39853 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2007-04-04 |
| 1942344627 | Thomas E. Phelps | Dentist | 3200 Mowry Ave, C, Fremont, CA 94538-1510 | 2007-02-16 |
| Find all providers in FREMONT | ||||
Please comment or provide details below to improve the information on DR. SHRUTI SHASTRY.
| 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.