Active NPI
Shamim Shayegan, RDH, EPDH
- Dental Hygienist
- Sherwood, OR
National Provider Identifier
1174413264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H8971
- Practice address
- 17189 SW Jean Louise Rd
Sherwood, OR 97140-9244 - Phone
- (971) 762-7629
- NPI assigned
- Jul 9, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H8971 | OR | Primary |
Addresses
Primary practice location
17189 SW Jean Louise Rd
Sherwood, OR 97140-9244
Mailing address
17189 SW Jean Louise Rd
Sherwood, OR 97140-9244
Phone (971) 762-7629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H8971 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1174413264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17189 SW JEAN LOUISE RD",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409244",
"telephone_number": "971-762-7629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17189 SW JEAN LOUISE RD",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409244",
"telephone_number": "971-762-7629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAYEGAN",
"first_name": "SHAMIM",
"credential": "RDH, EPDH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-09",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H8971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.