OrganizationActive
Jayshree N. Shah DDS, Inc.
NPI 1114176609 · General Practice Dentistry · Fullerton, CA
Jayshree N. Shah DDS, Inc. is a General Practice Dentistry organization in Fullerton, CA (NPI 1114176609).
Provider details
- NPI number
- 1114176609
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tejas Shah, Secretary(714) 871-4892
- License
- 34900 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
301 W Bastanchury Rd Ste 5
Fullerton, CA 92835-3422
Phone: (714) 871-4892
Fax: (714) 871-4896
Approximate (ZIP-level) locationGet directions
Mailing address
301 W Bastanchury Rd Ste 5
Fullerton, CA 92835-3422
Other names (DBA / former)
- Doing business as
- Vivid Dental Studio
Registry dates
- Enumerated
- 2008-09-09
- Last updated
- 2008-09-09
Frequently asked questions
- What is Jayshree N. Shah DDS, Inc.'s NPI number?
- Jayshree N. Shah DDS, Inc.'s National Provider Identifier (NPI) is 1114176609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jayshree N. Shah DDS, Inc.?
- Jayshree N. Shah DDS, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jayshree N. Shah DDS, Inc. located?
- Jayshree N. Shah DDS, Inc.'s practice location on file with NPPES is 301 W Bastanchury Rd Ste 5, Fullerton, CA 92835-3422.
- What is Jayshree N. Shah DDS, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jayshree N. Shah DDS, Inc. is (714) 871-4892.
- Who is the authorized official for Jayshree N. Shah DDS, Inc.?
- The authorized official listed on Jayshree N. Shah DDS, Inc.'s NPPES record is Tejas Shah, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jayshree N. Shah DDS, Inc.'s NPI active?
- Yes — Jayshree N. Shah DDS, Inc.'s NPI (1114176609) is active in the NPPES registry as of the last update on 2008-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.