Jason Jacob Shadpour, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

113314 Issued in CA

Practice address

925 W 34TH St
Los Angeles, CA 90089-0058

Phone

(213) 740-2805

NPI assigned

Jul 2, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1013834613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9774 SAN CIR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W 34TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890058",
            "telephone_number": "213-740-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADPOUR",
        "first_name": "JASON",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan R. Shadi, D.D.S.
• Payam Shadi, M.D.
• Shadle Chiropractic Prof. Corp.
• Henry Houshang Shadman, D.D.S.
• Parastoo Shadmani, RD
• Joseph Matthew Shadpour, DO
• Sadaf Shadpour
• Aida Shadrav, DMD
• Sonya Shadravan
• Doris Shadrooz, PT

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.