Active NPI
Shaghayegh Tahririan, DMD
- General Practice Dentistry
- Beaverton, OR
National Provider Identifier
1528247574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D9027
- Practice address
- 12520 SW 1St St
Beaverton, OR 97005-0550 - Phone
- (503) 348-5804
- NPI assigned
- Oct 26, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D9027 | OR | Primary |
Addresses
Primary practice location
12520 SW 1St St
Beaverton, OR 97005-0550
Mailing address
12520 SW 1St St
Beaverton, OR 97005-0550
Phone (503) 348-5804
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
| License | State | Type | Specialty |
|---|---|---|---|
| D9027 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1528247574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12520 SW 1ST ST",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970050550",
"telephone_number": "503-348-5804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12520 SW 1ST ST",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970050550",
"telephone_number": "503-348-5804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHRIRIAN",
"first_name": "SHAGHAYEGH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-26",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D9027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.