Michelle Shamardi, DDS a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHELLE SHAMARDI, DDS A DENTAL CORPORATION

Practice address

400 Newport Center Dr Ste 209
Newport Beach, CA 92660-7645

Phone

(949) 760-1051

Fax

(949) 760-2654

NPI assigned

Dec 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Michelle M. Shamardi, DDSNPI 1316168941

Title

President

Phone

(949) 760-1051

Specialties & licenses 1

Addresses

Tax ID family

Michelle Shamardi DDS a Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michelle Shamardi, DDS a Dental Corporation

  • Dental Clinic/Center
  • Newport Beach, CA
  • NPI 1851262539
  NPD tax ID

Locations

Practitioners 2

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

• Michelle M. Shamardi, D.D.S.

  • Dentist
  • Newport Beach, CA
  • NPI 1316168941
  NPD Authorized official
• Carolyn C Light, DDS

  • General Practice Dentistry
  • Newport Beach, CA
  • NPI 1255479929
  NPD (past)

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1205546108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607645",
            "telephone_number": "949-760-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607645",
            "telephone_number": "949-760-1051",
            "fax_number": "949-760-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE SHAMARDI, DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "SHAMARDI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-760-1051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soleil Marie Michaelian
• Kimberly Michel
• Michele Lob, a Professional Corporation (DBT Center of Orange County)
• David Michelis, MD
• Michelle Aszterbaum MD Inc
• Michelle Shamardi, DDS a Dental Corporation
• Katelyn Mickle, OTR/L
• Microcosmos Acupuncture, Inc.
• Ashley Marie Midland, PA-C
• Kamer Migirdichian, D.C.

• General Practice Dentistry in Newport Beach, CA
• Providers in Newport Beach, 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 Apr 27, 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.