Shiva Bayat, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

113123 Issued in CA

Practice address

837 Ridge Dr
Glendale, CA 91206-1755

Phone

(818) 746-0474

NPI assigned

Jun 6, 2023

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

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1144914938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 RIDGE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061755",
            "telephone_number": "818-746-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 RIDGE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061755",
            "telephone_number": "818-746-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYAT",
        "first_name": "SHIVA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Baudanza
• Michelle Bautista, OTR
• Rebecca Bautista, LMFT
• Samantha Paola Bautista
• Bay Imaging Consultants Medical Group
• Bella Baydian, DDS
• Jack Bayramyan, D.D.S.
• Johanna Bazan
• Leah Bazik
• Anita Bazikyan

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, 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 Jun 22, 2026; 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.