KOSHA SHAH (NPI# 1669503397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669503397 |
| Entity Type | Individual |
| Full Name | KOSHA SHAH |
| Credential | D.D.S. |
| Practice Address |
521 W Channel Islands Blvd Ste 8 Port Hueneme CA 93041-2132 |
| Practice Telephone | 8058154356 |
| Mailing Telephone | 8058154356 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 49804 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL | D49804 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326529918 | Kosha Shah | Occupational Therapist | 12071 Alta Carmel Ct Unit 85, San Diego, CA 92128-3815 | 2018-08-22 |
| 1881085926 | Kosha Shah | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx Lebanon Hospital Center, Bronx, NY 10457 | 2015-02-11 |
| 1275968547 | Kosha R Shah | Dentist | 10 Medical Park, Dental Center, Columbia, SC 29203 | 2013-09-05 |
| 1861621328 | Kosha K Shah | Dentist | 150 Southfield Ave, 2203, Stamford, CT 06902-7756 | 2009-07-06 |
| Street Address |
521 W CHANNEL ISLANDS BLVD STE 8 |
| City | PORT HUENEME |
| State | CA |
| Zip Code | 93041-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053929976 | Rutu Jignesh Shah | Dentist | 521 W Channel Islands Blvd Ste 8, Port Hueneme, CA 93041-2132 | 2020-07-16 |
| 1922139641 | K J Shah Dds, Inc. | Dentist | 521 W Channel Islands Blvd Ste 8, Port Hueneme, CA 93041-2132 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629592605 | Andrew Guilmond Nadeau | Military Health Care Provider | 1183 North Ventura Road, Port Hueneme, CA 93041 | 2017-08-01 |
| 1861861221 | Norma Martinez | Non-emergency Medical Transport (VAN) | 160 Sixth Place, Port Hueneme, CA 93041 | 2015-09-16 |
| 1962813733 | Olga Gutierrez Core | Pharmacist | 248 E Scott St, Port Hueneme, CA 93041 | 2014-05-15 |
| 1659796647 | Michael George Abasta | Chore Provider | 1534 5th Street, Port Hueneme, CA 93041 | 2014-02-27 |
| 1669610770 | Dianna Castro | Counselor | 1634 6th Street, Port Hueneme, CA 93041 | 2009-01-27 |
| 1427266931 | Brian Michael Strahl | Military Health Care Provider | 5 Nmcb 5 Street, Port Hueneme, CA 93041 | 2007-05-18 |
| 1518094291 | Alireza Sharifzadeh Dds Inc | Dentist | 460 E Pleasant Valley Rd, #b, Port Hueneme, CA 93041 | 2007-02-28 |
| 1306991807 | Dennis L Tank Dds PC | Dentist | 475 W Channel Islands Blvd, 203, Port Hueneme, CA 93041 | 2007-01-24 |
| 1538224001 | Tri Duc Duong | Dentist | 329 E Hueneme Rd, Port Hueneme, CA 93041 | 2006-12-26 |
| 1891857967 | Darryl William Priest | Dentist | 501 West Channel Islands Blvd, Suite 205, Port Hueneme, CA 93041 | 2006-12-15 |
| Find all providers in zip 93041 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689039950 | Ramin Moravveji | Dentist | 305 E Port Hueneme Rd, Port Hueneme, CA 93041-3222 | 2015-12-30 |
| 1588069116 | Tariq H.alsamaan D.d.s.dental Corp | Dentist | 607 W Channel Islands Blvd, Port Hueneme, CA 93041-2136 | 2014-10-24 |
| 1306991807 | Dennis L Tank Dds PC | Dentist | 475 W Channel Islands Blvd, 203, Port Hueneme, CA 93041 | 2007-01-24 |
| 1013064625 | Gustavo Ariel Assatourians | Dentist | 2601 N Ventura Rd, Port Hueneme, CA 93041-2048 | 2007-01-04 |
| 1891857967 | Darryl William Priest | Dentist | 501 West Channel Islands Blvd, Suite 205, Port Hueneme, CA 93041 | 2006-12-15 |
| 1053929976 | Rutu Jignesh Shah | Dentist | 521 W Channel Islands Blvd Ste 8, Port Hueneme, CA 93041-2132 | 2020-07-16 |
| 1871146951 | Sason Dardashti | Dentist | 2601 N Ventura Rd, Port Hueneme, CA 93041-2048 | 2019-07-18 |
| 1043542145 | Katie Marie Sugar | Dentist | 475 W Channel Islands Blvd, Ste 203, Port Hueneme, CA 93041-2106 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | PORT HUENEME |
| Zip Code | 93041 |
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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.