Individual provider Active NPI

Solmaz Shir, DDS

  • Pediatric Dentistry
  • Chino Hills, CA
National Provider Identifier
1255696142
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DDS109654 Issued in CA
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

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924004003 CA Order and Referring Only - DentistPractitioner - Dentist 1254836828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109654CAMDMental Health Counselor
DDS109654CAMDPediatric Dentist
28104TXMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shir & Pishbin Dental Corporation Pediatric Dentistry CurrentSince May 25, 2025 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.

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

Verify at the official NPI Registry.