Active NPI
Roxana Shahnavaz, DDS
- Dentist
- Portland, OR
National Provider Identifier
1275965543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD9935
- Practice address
- 111 SW Harrison St
Apt 12B
Portland, OR 97201-5336 - Phone
- (415) 987-3527
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD9935 | OR | Primary |
Addresses
Primary practice location
111 SW Harrison St
Apt 12B
Portland, OR 97201-5336
Mailing address
111 SW Harrison St
Apt 12B
Portland, OR 97201-5336
Phone (415) 987-3527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD9935 | OR | MD | Dentist |
| 63746 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1275965543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SW HARRISON ST",
"address_2": "APT 12B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015336",
"telephone_number": "415-987-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SW HARRISON ST",
"address_2": "APT 12B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015336",
"telephone_number": "415-987-3527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHNAVAZ",
"first_name": "ROXANA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "DD9935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.