Shiva Roghani DDS, Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

42766 Issued in CA

Legal business name

SHIVA ROGHANI DDS, INC

Practice address

13420 Newport Ave Ste B
Tustin, CA 92780-3745

Phone

(714) 832-1343

Fax

(714) 838-8065

NPI assigned

Sep 7, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rosa Torres

Title

Office Manager

Phone

(714) 832-1343

Specialties & licenses 1

Addresses

Other names 1

• Kid Friendly Pediatric Dentistry Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shiva Roghani, DDS

  • Pediatric Dentistry
  • Tustin, CA
  • NPI 1083803183
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386162584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 NEWPORT AVE STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803745",
            "telephone_number": "714-832-1343",
            "fax_number": "714-838-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 NEWPORT AVE STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803745",
            "telephone_number": "714-832-1343",
            "fax_number": "714-838-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVA ROGHANI DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-832-1343"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "42766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kid Friendly Pediatric Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Seung Won Shin
• Shine Psychiatry Professional Nursing Corp. (Shine Psychiatry and Mental Health Services)
• Shirley Santos, DDS Inc
• Kavon Samet Shirvani
• Vivian W Shiu
• Jennifer Shively
• Divya Shokeen, M.D
• Aryan Shokrollah Shirazi, PHARMACIST
• Mohammed Shouka, DC
• Dustin Shultz, MFT

• Pediatric Dentistry in Tustin, CA
• Providers in Tustin, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.