Organization Active NPI

H Shaheedy DMD Inc

  • Pediatric Dentistry
  • Palmdale, CA
National Provider Identifier
1417519901
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
H SHAHEEDY DMD INC
Practice address
2271 E Palmdale Blvd Ste C
Palmdale, CA 93550-1340
Phone
(661) 538-1286
Fax
(661) 538-1276
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Haleh Shaheedy, DMD
Title
Owner
Phone
(818) 703-0234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2271 E Palmdale Blvd Ste C
Palmdale, CA 93550-1340

Mailing address

2271 E Palmdale Blvd Ste C
Palmdale, CA 93550-1340
Phone (661) 538-1276

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherCANA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL smilesforall0234@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

2271 E Palmdale Blvd
Ste C
Palmdale, CA 93550
Phone (661) 538-1286

2271 E Palmdale Blvd
Palmdale, CA 93550
Phone (661) 538-9922

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1417519901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 E PALMDALE BLVD STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935501340",
            "telephone_number": "661-538-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 E PALMDALE BLVD STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935501340",
            "telephone_number": "661-538-1286",
            "fax_number": "661-538-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H SHAHEEDY DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "SHAHEEDY",
        "authorized_official_first_name": "HALEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-703-0234",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "smilesforall0234@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Dental Office Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mailing Address",
            "address_1": "2271 E Palmdale Blvd",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935501340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.