Elmira Gederi Shojai, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12125111-9923 Issued in UT

Practice address

795 Hollyhock St
Park City, UT 84098-5579

Phone

(310) 433-1061

NPI assigned

Dec 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1194960070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 HOLLYHOCK ST",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985579",
            "telephone_number": "310-433-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 HOLLYHOCK ST",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985579",
            "telephone_number": "310-433-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOJAI",
        "first_name": "ELMIRA",
        "middle_name": "GEDERI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57936",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25363",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "12125111-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Kimberly Shaw, DNP, FNP-BC
• Jonathan Daniel Sherman, LMFT
• Brendan Lee Shevchik, PA-C
• Kara Shirey, MS, RDN, CD
• Matthew Barton Dean Shirley, MD
• Elizabeth Anne Siebert, PT
• Apolonia G. Silva, FNP
• Silver Creek Counseling LLC
• Silver Creek Speech & Language
• Silver Peak Health LLC

• General Practice Dentistry in Park City, UT
• Providers in Park City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.