Organization Active NPI

Shayesteh and Shams Dental PA

Doing business as Picasso Smiles

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1053607796
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26280 Issued in TX
Legal business name
SHAYESTEH AND SHAMS DENTAL PA
Doing business as
Picasso Smiles
Practice address
1816 N Zaragoza Rd Ste 103
El Paso, TX 79936-8020
Phone
(310) 663-4323
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Tamir Shams, D.M.DNPI 1942477930
Title
Secretary
Phone
(310) 663-4323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 26280 TX Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 24979 TX

Addresses

Primary practice location

1816 N Zaragoza Rd Ste 103
El Paso, TX 79936-8020

Mailing address

1816 N Zaragoza Rd Ste 103
El Paso, TX 79936-8020

Other names 1

  • Picasso Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

1816 N Zaragoza Rd
Ste 103
El Paso, TX 79936
Phone (310) 663-4323

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1053607796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 N ZARAGOZA RD STE 103",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 N ZARAGOZA RD STE 103",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368020",
            "telephone_number": "310-663-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYESTEH AND SHAMS DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "SHAMS",
        "authorized_official_first_name": "TAMIR",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "310-663-4323",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26280",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Picasso Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.