Individual provider Active NPI

Shahira Saad, DDS

  • Dentist
  • North Hollywood, CA
National Provider Identifier
1447891080
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS103555 Issued in CA
Practice address
10545 Victory Blvd
North Hollywood, CA 91606-3916
Phone
(602) 750-3061
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS103555 CA Primary

Addresses

Primary practice location

10545 Victory Blvd
North Hollywood, CA 91606-3916

Mailing address

1430 7TH St Apt 302
Santa Monica, CA 90401-2649
Phone (602) 750-3061

Other practice location 1

6325 Topanga Canyon Blvd Ste 322
Woodland Hills, CA 91367-2027
Phone (818) 347-5124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS103555CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shahira Saad DDS Inc Dentist Current Accepting new patients
Naminik and Koshki DDS Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1447891080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 7TH ST APT 302",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012649",
            "telephone_number": "602-750-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10545 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063916",
            "telephone_number": "602-750-3061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6325 Topanga Canyon Blvd Ste 322",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913672027",
            "country_code": "US",
            "telephone_number": "818-347-5124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAAD",
        "first_name": "SHAHIRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS103555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.