Active NPI
Behzad Shelechi, DDS
- Dentist
- Palm Desert, CA
National Provider Identifier
1487967154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 59304
- Practice address
- 34460 Monterey Ave
Palm Desert, CA 92211-6008 - Phone
- (760) 610-0358
- NPI assigned
- Jul 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 59304 | CA | Primary |
Addresses
Primary practice location
34460 Monterey Ave
Palm Desert, CA 92211-6008
Mailing address
23775 Dolphin CV
Laguna Niguel, CA 92677-1642
Phone (949) 395-3586
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1487967154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23775 DOLPHIN CV",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771642",
"telephone_number": "949-395-3586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34460 MONTEREY AVE",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922116008",
"telephone_number": "760-610-0358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELECHI",
"first_name": "BEHZAD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.