Allahyar J Shirvan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39708 Issued in CA

Practice address

5635 Stratford Cir Ste C36
Stockton, CA 95207-5069

Phone

(209) 473-1010

Fax

(209) 473-3805

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164646469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 STRATFORD CIR STE C36",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075069",
            "telephone_number": "209-473-1010",
            "fax_number": "209-473-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 STRATFORD CIR STE C36",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075069",
            "telephone_number": "209-473-1010",
            "fax_number": "209-473-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRVAN",
        "first_name": "ALLAHYAR",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley'S Care Home Inc
• Shirley'S Care Home Inc
• Shirley'S Care Home Inc #2
• Shirley'S Icf DD N No 5
• Jennifer Dawn Shirron, SCHOOL PSYCHOLOGIST
• Emily Shoemaker
• Holly Ann Shoemaker
• Pooja Shori
• Alena C Short
• Debra Short, PHARMD

• General Practice Dentistry in Stockton, CA
• Providers in Stockton, 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 Jul 8, 2007; 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.