Nirvana Schuyler, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8974 Issued in OR

Practice address

15885 SW 116TH Ave
Tigard, OR 97224-2647

Phone

(503) 639-5025

Fax

(503) 684-1391

NPI assigned

May 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nirvana Shahidzadeh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bull Mountain Family Dentistry, PC

  • Dental Clinic/Center
  • King City, OR
  • NPI 1285919555
  NPD (past) Authorized official
• Dimitrios J. Vareldzis DDS, PC

  • Dentist
  • Tigard, OR
  • NPI 1174657217
  NPD (past)

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1497921092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15885 SW 116TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972242647",
            "telephone_number": "503-639-5025",
            "fax_number": "503-684-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15885 SW 116TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972242647",
            "telephone_number": "503-639-5025",
            "fax_number": "503-684-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUYLER",
        "first_name": "NIRVANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIRVANA",
            "last_name": "SHAHIDZADEH",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Schule, MA
• John Cramer Schuler, M.D.
• Joan A Schultz, LPC
• Noelle Brittany Schultz, LMT
• Chaselynn Schultze
• Benjamin Joseph Schwartz, MD
• Bryan Schwartz, M.D.
• Ed F Schwartz, MA, CHT
• John H Schwartz, MD
• Renee Marie Schwartz, ND

• General Practice Dentistry in Tigard, OR
• Providers in Tigard, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.