SPARK SLEEP SOLUTIONS
NPI 1710377494
Dentist in Scotts Valley, CA

Q: What is Dr Srujal H Shah Dds Inc's NPI number?

The NPI number for Dr Srujal H Shah Dds Inc is 1710377494. It was assigned to this organization in the NPPES registry on February 2, 2015. The provider is doing business as Spark Sleep Solutions.

Q: What is Dr Srujal H Shah Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since February 02, 2015

4340 SCOTTS VALLEY DR STE H, SCOTTS VALLEY, CA 95066(408) 490-0182(408) 624-4545 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2023, Mar 30, 2017 (2 updates tracked since 2017).

On this page

About Spark Sleep Solutions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARK SLEEP SOLUTIONS (NPI 1710377494) is a healthcare organization registered as a dentist in Scotts Valley, California and active in the NPI registry since February 2015. The organization lists Srujal Harshad Shah, President, as its authorized official.

NPPES Registry Identity

NPI1710377494

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDR SRUJAL H SHAH DDS INC

Location Address4340 SCOTTS VALLEY DR STE HScotts Valley, CA 95066-4541

Mailing Address6120 Hellyer Ave Ste 125San Jose, CA 95138-1066 · (408) 490-0182 · Fax (408) 624-4545

Phone(408) 490-0182

Fax(408) 624-4545

Organization SubpartNo

Authorized OfficialSrujal Harshad ShahPresident · (408) 490-0182

Enumeration DateFebruary 2, 2015

Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1710377494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 58754

Definition

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.

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

4340 SCOTTS VALLEY DR STE H, Scotts Valley, CA 95066

Open in Google Maps ↗

Other Names 1

Doing Business AsSpark Sleep Solutions

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spark Sleep Solutions is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20150707000265DME · Oral Surgery - DentistDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Srujal H Shah Dds Inc's NPI number?

The NPI number for Dr Srujal H Shah Dds Inc is 1710377494. It was assigned to this organization in the NPPES registry on February 2, 2015. The provider is doing business as Spark Sleep Solutions.

Where is Dr Srujal H Shah Dds Inc located?

Dr Srujal H Shah Dds Inc is located at 4340 Scotts Valley Dr Ste H, Scotts Valley, CA 95066. The listed phone number is (408) 490-0182.

What is Dr Srujal H Shah Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dr Srujal H Shah Dds Inc enrolled in Medicare?

Yes. Dr Srujal H Shah Dds Inc is registered in the Medicare PECOS enrollment system.

When is Dr Srujal H Shah Dds Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Oral Surgery - Dentist) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Dr Srujal H Shah Dds Inc was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.