Organization Active NPI

Shahin Javidi, DMD, a Professional Dental Corporation

  • General Practice Dentistry
  • Stockton, CA
National Provider Identifier
1407530850
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHAHIN JAVIDI, DMD, A PROFESSIONAL DENTAL CORPORATION
Doing business as
Affordable Dentures & Implants - Stockton
Practice address
5756 Pacific Ave Ste 40
Stockton, CA 95207-5156
Phone
(209) 390-4923
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Shahin Javidi, DMD
Title
Owner
Phone
(209) 390-4923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5756 Pacific Ave Ste 40
Stockton, CA 95207-5156

Mailing address

5756 Pacific Ave Ste 40
Stockton, CA 95207-5156
Phone (209) 390-4923

Other names 1

  • Affordable Dentures & Implants - Stockton Doing business as

National Provider Directory

National Provider Directory

Locations

5756 Pacific Ave
Ste 40
Stockton, CA 95207
Phone (209) 390-4923

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1407530850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 PACIFIC AVE STE 40",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075156",
            "telephone_number": "209-390-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 PACIFIC AVE STE 40",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075156",
            "telephone_number": "209-390-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIN JAVIDI, DMD, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "JAVIDI",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-390-4923",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Stockton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.