Organization Active NPI

Shayan Bayat, DDS, Inc

  • Dentist
  • Pinole, CA
National Provider Identifier
1316340342
Registry record updated Oct 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62864 Issued in CA
Legal business name
SHAYAN BAYAT, DDS, INC
Practice address
1500 Tara Hills Dr
Suite 104
Pinole, CA 94564-2577
Phone
(510) 724-7474
NPI assigned
Oct 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2014

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

Authorized official

Name
Shayan Bayat, D.D.S.NPI 1851725030
Title
General Dentist
Phone
(510) 541-3169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 62864 CA Primary

Addresses

Primary practice location

1500 Tara Hills Dr
Suite 104
Pinole, CA 94564-2577

Mailing address

638 Clayton Ave
El Cerrito, CA 94530-3232
Phone (510) 541-3169

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412467200000",
    "number": "1316340342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 CLAYTON AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303232",
            "telephone_number": "510-541-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 TARA HILLS DR",
            "address_2": "SUITE 104",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642577",
            "telephone_number": "510-724-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYAN BAYAT, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-05",
        "last_updated": "2014-10-05",
        "status": "A",
        "authorized_official_last_name": "BAYAT",
        "authorized_official_first_name": "SHAYAN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "510-541-3169",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "62864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2014; 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.