NPIMap

Organization Active NPI

Nahideh Shojaei DDS , PC

  • Dentist
  • Madera, CA
National Provider Identifier
1396254991
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59804 Issued in CA
Legal business name
NAHIDEH SHOJAEI DDS , PC
Doing business as
Ideal Smile Dentistry Dental Practice
Ideal Smile Dentistry Dental Practise
Practice address
475 E Almond Ave Ste 103
Madera, CA 93637-5750
Phone
(559) 662-1010
Fax
(559) 662-0942
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Nahideh Shojaei, DDSNPI 1023326303
Title
President
Phone
(559) 662-1010

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 59804 CA Primary
Dental Clinic/Center 261QD0000X 59804 CA

Addresses

Primary practice location

475 E Almond Ave Ste 103
Madera, CA 93637-5750

Mailing address

475 E Almond Ave Ste 103
Madera, CA 93637-5750
Phone (559) 662-1010

Other names 2

  • Ideal Smile Dentistry Dental Practice Doing business as
  • Ideal Smile Dentistry Dental Practise Doing business as

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": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396254991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E ALMOND AVE STE 103",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375750",
            "telephone_number": "559-662-1010",
            "fax_number": "559-662-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E ALMOND AVE STE 103",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375750",
            "telephone_number": "559-662-1010",
            "fax_number": "559-662-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAHIDEH SHOJAEI DDS , PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHOJAEI",
        "authorized_official_first_name": "NAHIDEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-662-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59804",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Smile Dentistry Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ideal Smile Dentistry Dental Practise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

  • 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.