Organization Active NPI

E Shirazi DDS Inc

  • Dentist
  • Concord, CA
National Provider Identifier
1396926861
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54211 Issued in CA
Legal business name
E SHIRAZI DDS INC
Practice address
2222 East St
Suite 270
Concord, CA 94520-2084
Phone
(925) 689-3500
Fax
(925) 689-3535
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dr. Elham Shirazi, D.D.S
Title
Dentist
Phone
(925) 689-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 54211 CA Primary

Addresses

Primary practice location

2222 East St
Suite 270
Concord, CA 94520-2084

Mailing address

2222 East St
Suite 270
Concord, CA 94520-2084
Phone (925) 689-3500

Other identifiers 1

IdentifierTypeStateIssuer
G89682-01OtherCAMEDI-CAL DENTAL PROGRAM

National Provider Directory

National Provider Directory

Locations

2222 East St
Ste 270
Concord, CA 94520
Phone (206) 866-4289

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1396926861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 EAST ST",
            "address_2": "SUITE 270",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202084",
            "telephone_number": "925-689-3500",
            "fax_number": "925-689-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 EAST ST",
            "address_2": "SUITE 270",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202084",
            "telephone_number": "925-689-3500",
            "fax_number": "925-689-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E SHIRAZI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "ELHAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "925-689-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL DENTAL PROGRAM",
            "identifier": "G89682-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.