Siyouneh Novshadian, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DDS102177 Issued in CA

Practice address

999 Sutter St # 11
San Francisco, CA 94109-6023

Phone

(818) 926-2792

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1376180331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 PARNASSUS AVE APT 11",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222624",
            "telephone_number": "818-926-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SUTTER ST # 11",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096023",
            "telephone_number": "818-926-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVSHADIAN",
        "first_name": "SIYOUNEH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS102177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5SNU776",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Novis Corporation
• Marvenia Novis
• Rocio Novoa
• Faina Jane Novosolov, M.D.
• Scott Sorenson Novotny, MSW, LCSW
• Stephanie Claire Nowak, ANP-BC, NP-C
• Wyatt Nowak
• Sean Nowell, PT
• Kathie Emily Nowicki, PHARMD
• Michael Thomas Nowicki, PHARM.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.