Shiva Roghani, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

42766 Issued in CA

Practice address

13420 Newport Ave
Suite B
Tustin, CA 92780-3745

Phone

(714) 832-1343

NPI assigned

Oct 15, 2007

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Houman Mizani DDS Inc.

  • Pediatric Dentistry
  • Tustin, CA
  • NPI 1649135658
  NPD (past)
• Shiva Roghani DDS, Inc

  • Pediatric Dentistry
  • Tustin, CA
  • NPI 1386162584
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1083803183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 NEWPORT AVE",
            "address_2": "SUITE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803745",
            "telephone_number": "714-832-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 NEWPORT AVE",
            "address_2": "SUITE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803745",
            "telephone_number": "714-832-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGHANI",
        "first_name": "SHIVA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "42766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Eduardo Rodriguez
• Monica Rodriguez
• Roger Kornu MD PC
• Amanda Lynn Rogers
• Vickie Lynn Rogers
• Kyle Rogoff
• Steven S Roman, PSY.D., MFT
• Valeria Roman
• Anayely Romero
• Jean Franco Romualdez

• Pediatric Dentistry in Tustin, CA
• Providers in Tustin, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.