Individual provider Active NPI

Samira Shafaee, DDS

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1023198579
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49212 Issued in CA
Practice address
3500 Barranca Pkwy
Suite # 270
Irvine, CA 92606-8226
Phone
(949) 654-4654
Fax
(949) 654-4645
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 49212 CA Primary

Addresses

Primary practice location

3500 Barranca Pkwy
Suite # 270
Irvine, CA 92606-8226

Mailing address

15785 Laguna Canyon Rd
Suite # 270
Irvine, CA 92618-3165
Phone (949) 654-4654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49212CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shahriyarpour and Shafaee Dental Practice Inc. General Practice Current Accepting new patients

Locations

15785 Laguna Canyon Rd
Ste 270
Irvine, CA 92618
Phone (949) 654-4654

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1023198579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD",
            "address_2": "SUITE # 270",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183165",
            "telephone_number": "949-654-4654",
            "fax_number": "949-654-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY",
            "address_2": "SUITE # 270",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068226",
            "telephone_number": "949-654-4654",
            "fax_number": "949-654-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFAEE",
        "first_name": "SAMIRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.