Organization Active NPI

Shervin Moshashaei DDS Mba Inc

  • Dentist
  • San Diego, CA
National Provider Identifier
1104552348
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHERVIN MOSHASHAEI DDS MBA INC
Practice address
9878 Hibert St Ste 105
San Diego, CA 92131-1142
Phone
(310) 993-8702
Fax
(858) 779-3112
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Dr. Shervin Moshashaei, DDS MBANPI 1912511056
Title
Owner/ DDS
Phone
(858) 779-3111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9878 Hibert St Ste 105
San Diego, CA 92131-1142

Mailing address

9878 Hibert St Ste 105
San Diego, CA 92131-1142
Phone (310) 993-8702

National Provider Directory

National Provider Directory

Locations

9878 Hibert St
Ste 105
San Diego, CA 92131
Phone (310) 993-8702

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": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1104552348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9878 HIBERT ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311142",
            "telephone_number": "310-993-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9878 HIBERT ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311142",
            "telephone_number": "310-993-8702",
            "fax_number": "858-779-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERVIN MOSHASHAEI DDS MBA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "MOSHASHAEI",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_title_or_position": "OWNER/ DDS",
        "authorized_official_telephone_number": "858-779-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.