Active NPI
Shahryar Sefidpour,DDS MSD Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Granite Bay, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 98442
- Legal business name
- SHAHRYAR SEFIDPOUR,DDS MSD INC
- Practice address
- 4150 Douglas Blvd Ste B
Granite Bay, CA 95746-5908 - Phone
- (916) 774-6986
- Fax
- (916) 774-6533
- NPI assigned
- Feb 26, 2007
- Last updated
- Sep 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shahryar Sefidpour, DDS,MSD
- Title
- Owner / Doctor
- Phone
- (916) 774-6986
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 98442 | CA | Primary |
Addresses
Primary practice location
4150 Douglas Blvd Ste B
Granite Bay, CA 95746-5908
Mailing address
4150 Douglas Blvd Ste B
Granite Bay, CA 95746-5908
Phone (916) 774-6986
National Provider Directory
National Provider DirectoryLocations
4150 Douglas Blvd
Ste B
Granite Bay, CA 95746
Phone (916) 774-6986
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Granite Bay, CA
- NPI 1649721135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474934400000",
"number": "1518093111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 DOUGLAS BLVD STE B",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957465908",
"telephone_number": "916-774-6986",
"fax_number": "916-774-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 DOUGLAS BLVD STE B",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957465908",
"telephone_number": "916-774-6986",
"fax_number": "916-774-6533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAHRYAR SEFIDPOUR,DDS MSD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2016-09-27",
"status": "A",
"authorized_official_last_name": "SEFIDPOUR",
"authorized_official_first_name": "SHAHRYAR",
"authorized_official_title_or_position": "OWNER / DOCTOR",
"authorized_official_telephone_number": "916-774-6986",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS,MSD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "98442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granite Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.