Individual provider Active NPI

Nahideh Shojaei, D.D.S.

  • General Practice Dentistry
  • Madera, CA
National Provider Identifier
1023326303
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59804 Issued in CA
Practice address
475 E Almond Ave Ste 103
Madera, CA 93637-5750
Phone
(559) 662-1010
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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 59804 CA Primary

Addresses

Primary practice location

475 E Almond Ave Ste 103
Madera, CA 93637-5750

Mailing address

475 E Almond Ave Ste 103
Madera, CA 93637-5750
Phone (559) 662-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505000127 CA Order and Referring Only - DentistPractitioner - Dentist 6103125695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nahideh Shojaei DDS , PC Current Accepting new patients

Locations

475 E Almond Ave
Ste 103
Madera, CA 93637
Phone (559) 662-1010

Interoperability endpoints

  • Direct secure messaging: nshojaei@direct.westerndental.com

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1023326303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E ALMOND AVE STE 103",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375750",
            "telephone_number": "559-662-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E ALMOND AVE STE 103",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375750",
            "telephone_number": "559-662-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOJAEI",
        "first_name": "NAHIDEH",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.