Organization Active NPI

Shaghayegh Vakilian DDS Inc

  • General Practice Dentistry
  • Encinitas, CA
National Provider Identifier
1467951467
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63771 Issued in CA
Legal business name
SHAGHAYEGH VAKILIAN DDS INC
Practice address
320 Santa Fe Dr Ste 105
Encinitas, CA 92024-5139
Phone
(760) 436-9292
Fax
(760) 436-9332
NPI assigned
Feb 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Authorized official

Name
Shaghayegh Vakilian, DDSNPI 1093107492
Title
Ceo
Phone
(760) 436-9292

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 63771 CA Primary

Addresses

Primary practice location

320 Santa Fe Dr Ste 105
Encinitas, CA 92024-5139

Mailing address

320 Santa Fe Dr Ste 105
Encinitas, CA 92024-5139
Phone (760) 436-9292

Other names 1

  • Dental Solutions of Encinitas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220318000708 CA DME Supplier - Oral Surgery - Dentist 3971998410 Practice locations: Encinitas, CA

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": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1467951467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR STE 105",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245139",
            "telephone_number": "760-436-9292",
            "fax_number": "760-436-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR STE 105",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245139",
            "telephone_number": "760-436-9292",
            "fax_number": "760-436-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAGHAYEGH VAKILIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "VAKILIAN",
        "authorized_official_first_name": "SHAGHAYEGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-436-9292",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Solutions of Encinitas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.