Active NPI
Solmaz Shir, DDS
- Pediatric Dentistry
- Chino Hills, CA
National Provider Identifier
1255696142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DDS109654
- Practice address
- 5817 Pine Ave Ste a
Chino Hills, CA 91709-6533 - Phone
- (909) 606-4500
- NPI assigned
- Jul 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DDS109654 | CA | Primary |
| Pediatric Dentistry | 1223P0221X | 28104 | TX |
Addresses
Primary practice location
5817 Pine Ave Ste a
Chino Hills, CA 91709-6533
Mailing address
PO Box 4204
Irvine, CA 92616-4204
Phone (281) 389-6349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250924004003 | CA | Order and Referring Only - Dentist | 1254836828 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109654 | CA | MD | Mental Health Counselor |
| DDS109654 | CA | MD | Pediatric Dentist |
| 28104 | TX | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shir & Pishbin Dental Corporation | Pediatric Dentistry | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Laguna Niguel, CA
- NPI 1023801974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1255696142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4204",
"city": "IRVINE",
"state": "CA",
"postal_code": "926164204",
"telephone_number": "281-389-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5817 PINE AVE STE A",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917096533",
"telephone_number": "909-606-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIR",
"first_name": "SOLMAZ",
"name_prefix": "Miss",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-07",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "DDS109654",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "28104",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.