Dr. Shailaja Menon
Dentist in Concord, CA. Individual provider (NPI-1).
NPI number1184792467
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184792467
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shailaja Menon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 50955 | CA | Yes |
Practice location
1821 Concord AveConcord, CA 94520-2348
Phone 925-825-9038
Mailing address
2751 Alpina CtPleasanton, CA 94588-9614
Phone 925-398-8286
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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