Individual provider Active NPI

Shaghayegh Zekavati, DMD

  • Dentist
  • Aliso Viejo, CA
National Provider Identifier
1336494269
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61446 Issued in CA
Practice address
1 Giovanni
Aliso Viejo, CA 92656-5227
Phone
(949) 636-6391
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61446 CA Primary

Addresses

Primary practice location

1 Giovanni
Aliso Viejo, CA 92656-5227

Mailing address

1 Giovanni
Aliso Viejo, CA 92656-5227
Phone (949) 636-6391

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1336494269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GIOVANNI",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565227",
            "telephone_number": "949-636-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GIOVANNI",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565227",
            "telephone_number": "949-636-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEKAVATI",
        "first_name": "SHAGHAYEGH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.