Shahram Shahriyarpour, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

47416 Issued in CA

Practice address

15785 Laguna Canyon Rd
Suite #270
Irvine, CA 92618-3165

Phone

(949) 654-4654

NPI assigned

Oct 18, 2007

Last updated

Feb 15, 2012By the provider in NPPES

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

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.

Opted out of Medicare

Yes, effective Apr 29, 2016 through Apr 29, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shahriyarpour and Shafaee Dental Practice Inc.

  dba Barranca Canyon Dentistry

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1871763466
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1316136070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD",
            "address_2": "SUITE #270",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183165",
            "telephone_number": "949-654-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD",
            "address_2": "SUITE #270",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183165",
            "telephone_number": "949-654-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHRIYARPOUR",
        "first_name": "SHAHRAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahla Heshmati M.D., Inc.
• Shahla P Rahmatullah M.D. Inc
• Shahnaz Bonyanpoor
• Mandana Shahoveisi, M.A.
• Shahriyarpour and Shafaee Dental Practice Inc. (Barranca Canyon Dentistry)
• Alex Tateos Shahverdian, PHARMD
• Banafsheh B Shaibani, MD
• Ruhi Shaikh
• Saleem Shaker
• Yasaman Shakeraneh

• Dentist in Irvine, CA
• Providers in Irvine, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.