Shervin Shariati, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

41308 Issued in CA

Practice address

3752 Florence St
Redwood City, CA 94063-4418

Phone

(650) 780-9429

NPI assigned

Sep 23, 2006

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mudita Agrawal DDS Inc

  • Dental Clinic/Center
  • Redwood City, CA
  • NPI 1831733211
  NPD (past)

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1205936960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3752 FLORENCE ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940634418",
            "telephone_number": "650-780-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3752 FLORENCE ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940634418",
            "telephone_number": "650-780-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIATI",
        "first_name": "SHERVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosaura E Shamieh
• Swati Shandilya, M.D.
• Jeffrey Michael Shapiro
• Bobbi Lynn Sharafi, PHARM. D.
• Shoresh Sharafi, PHARM. D.
• Brian Anthony Sharkey
• Lori Pignati Shaw, PA
• Dennis J. Sheehan, M.D.
• Helen Shen
• John Shen, PH.D.

• Dentist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.