Shiva Salehi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN22428 Issued in FL

Practice address

1224 Northlake Blvd Ste 310
Lake Park, FL 33403-2050

Phone

(561) 536-4463

NPI assigned

May 6, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1346696549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 NORTHLAKE BLVD STE 310",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 NORTHLAKE BLVD STE 310",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032050",
            "telephone_number": "561-536-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEHI",
        "first_name": "SHIVA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recovery Team Behavioral Health
• Laura Maria Rengifo
• Robert C Greer IV,D.O.,P.a.
• Michele Romano
• Sage Dental of Lake Park PLLC
• Sallent'S Pediatric Respiratory Center
• Cindy Elizabeth Santamaria, COTA
• Carlos Abel Satulovsky, MD
• Sent From Above Home Medical Supply Store
• Shannon T. Jones, LCSW, Inc.

• General Practice Dentistry in Lake Park, FL
• Providers in Lake Park, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.