Organization Active NPI

Shayesheh & Shams Westside P a

Doing business as Picasso Smiles Dental Implant & Cosmetic Center

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1053659813
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHAYESHEH & SHAMS WESTSIDE P A
Doing business as
Picasso Smiles Dental Implant & Cosmetic Center
Practice address
255 Shadow Mountain Dr
Suite G and H
El Paso, TX 79912-4757
Phone
(915) 857-6453
NPI assigned
Jan 29, 2013
Organization subpart
Yes
Parent organization
SHAYESTEH & SHAMS P AAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Nima Shayesteh, D.M.D
Title
Owner/Dentist
Phone
(915) 857-6453

Specialties & licenses 1

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

Addresses

Primary practice location

255 Shadow Mountain Dr
Suite G and H
El Paso, TX 79912-4757

Mailing address

255 Shadow Mountain Dr
Suite G and H
El Paso, TX 79912-4757
Phone (915) 857-6453

Other names 1

  • Picasso Smiles Dental Implant & Cosmetic Center Doing business as

National Provider Directory

National Provider Directory
Part of
Shayesteh and Shams Dental PA

Locations

255 Shadow Mountain Dr
Ste G
El Paso, TX 79912
Phone (915) 857-6453

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1053659813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SHADOW MOUNTAIN DR",
            "address_2": "SUITE G AND H",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124757",
            "telephone_number": "915-857-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SHADOW MOUNTAIN DR",
            "address_2": "SUITE G AND H",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124757",
            "telephone_number": "915-857-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYESHEH & SHAMS WESTSIDE P A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAYESTEH & SHAMS P A",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "SHAYESTEH",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "915-857-6453",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Picasso Smiles Dental Implant & Cosmetic Center",
            "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 Jan 29, 2013; 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.