Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386768398 Individual Practitioner Male Practitioner

Dr. Kishore Shetty , DDS

Dentist • Escondido, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kishore Shetty, DDS is a registered healthcare professional specializing in Dentist in Escondido, CA. Practice services are available at 425 N DATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

425 N Date St

Escondido, CA 92025

Telephone 7135172252
Associated Practice Facility / Clinic
🏢 Neighborhood Healthcare Facility NPI 1437335353

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Escondido, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
62 Specialists

Practicing in Escondido, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019027546

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.

Secondary Practice Locations

213 Mabley Pl

Cary, NC 275196940

Phone: 7135172252

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Dr. Archana Narayan , MD

Internal Medicine

NPI 1003053950

Doctor of Medicine (M.D.)

Lisa Rivard , RN, CDE

Registered Nurse

NPI 1023261351

Registered Nurse, Certified Diabetes Educator

NPI 1043239403

Doctor of Dental Surgery

NPI 1043243793

Doctor of Medicine (M.D.)

Bernice Tabil-Galapon , LCSW

Social Worker - Clinical

NPI 1043765688

Licensed Clinical Social Worker

Alejandra Nava-Herberger , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1093138422

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 11, 2019

Registered at 425 N DATE ST, ESCONDIDO, CA 92025 (Tel: 7135172252)

📍
Updated Business Mailing Address April 11, 2019

Registered at 213 MABLEY PL, CARY, NC 275196940 (Tel: 7135172252)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2019

Dentist (License #019027546 in IL)

NPI Profile Active October 06, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2011

Registered at 13918 NORTHCREEK DRIVE, SUITE 2921, MILLCREEK, WA 98012 (Tel: 7135172252)

📍
Updated Business Mailing Address October 06, 2011

Registered at 13918 NORTHCREEK DRIVE, SUITE 2921, MILLCREEK, WA 98012 (Tel: 7135172252)

👤
Provider Name / Credentials Updated October 06, 2011

Recorded as KISHORE SHETTY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2011

Dentist (License #DE00011174 in WA)

🟢
Initial NPI Registration & Enumeration March 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386768398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2007
Last Update: April 11, 2019
Sole Proprietor: Yes

Mailing Address

213 Mabley Pl

Cary, NC 275196940

Phone: 7135172252

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.