Sheida Mohammadizadeh DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHEIDA MOHAMMADIZADEH DDS, INC

Practice address

19348 Van Buren Blvd Ste 117
Riverside, CA 92508-9158

Phone

(951) 789-9905

NPI assigned

Mar 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sheida MohammadizadehNPI 1053300574

Title

Owner

Phone

(951) 789-9905

Specialties & licenses 1

Addresses

Other names 1

• Orangecrest Family Dental Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Sheida Mohammadizadeh, D.D.S.

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1053300574
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1124360417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19348 VAN BUREN BLVD STE 117",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089158",
            "telephone_number": "951-789-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19348 VAN BUREN BLVD STE 117",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089158",
            "telephone_number": "951-789-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEIDA MOHAMMADIZADEH DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADIZADEH",
        "authorized_official_first_name": "SHEIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-789-9905",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orangecrest Family Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Wayne Sheets, M.D., M.P.H.
• Thomas Gary Sheets, L.AC.
• Benjamin Sheffield
• Carlette Sheffield
• Rylie Sheftal
• Deborah Aileen Sheley, SAC
• Macie Taylor Shelton, LMFT
• Jonathan Shen, DO
• Willie Shen
• Celeste Shepherd

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.