Iraj Shafagh, DMD,MSC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DS-019264-L Issued in PA

Practice address

1305 West Chester Pike
Suite C
Havertown, PA 19083-2935

Phone

(610) 446-6688

Fax

(610) 446-6844

NPI assigned

Apr 17, 2007

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

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043436579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832929",
            "telephone_number": "610-446-6688",
            "fax_number": "610-446-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WEST CHESTER PIKE",
            "address_2": "SUITE C",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832935",
            "telephone_number": "610-446-6688",
            "fax_number": "610-446-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFAGH",
        "first_name": "IRAJ",
        "name_prefix": "Dr.",
        "credential": "DMD,MSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS-019264-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Home Care by Angels Inc D/B/a Visiting Angels
• Sequoia Seeds
• Serenity Behavioral Health LLC
• Jennifer Sestito, MS
• Taylor Sforza
• Jasmine Roxana Shafagh, DMD
• Shaheen Shafagh, DMD
• Khushbu Shah
• Valerie Suzanne Simonson Shah
• Francis Shannon

• Prosthodontics in Havertown, PA
• Providers in Havertown, PA by specialty
• Prosthodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.