Soheil Shahmiri, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DI 18681 Issued in NJ

Practice address

9 Post Road
Oakland Family Dentistry
Oakland, NJ 07436

Phone

(201) 337-8377

Fax

(201) 797-6882

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1265556773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 EDISON ST",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "07481",
            "telephone_number": "201-891-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 POST ROAD",
            "address_2": "OAKLAND FAMILY DENTISTRY",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "07436",
            "telephone_number": "201-337-8377",
            "fax_number": "201-797-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHMIRI",
        "first_name": "SOHEIL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "044177",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI 18681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Schou, LPC, CSW, CADC
• James Joseph Scillieri, D.M.D.
• James Stephen Scillieri, D.M.D.
• Burton Norman Seitler, PH.D.
• Jeanne Lee Seitler, PSYD
• Taylor Shaker, M.D, M.S.
• Ritaj Shoman
• Shoprite of Oakland Inc
• Shoprite Supermarkets Inc.
• Vlad Shteiman

• Periodontics in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.