Individual provider Active NPI

Shaahin Dadjoo, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Visalia, CA
National Provider Identifier
1578185302
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
105747 Issued in CA
Practice address
5422 W Cypress Ave
Visalia, CA 93277-8340
Phone
(585) 275-8315
NPI assigned
May 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 105747 CA Primary

Addresses

Primary practice location

5422 W Cypress Ave
Visalia, CA 93277-8340

Mailing address

427 W Nees Ave Ste 101
Clovis, CA 93611-4434
Phone (832) 584-8665

Other practice location 1

2377 W Cleveland Ave Ste 107
Madera, CA 93637-8754
Phone (559) 660-5588

Other practice location 2

1616 W Shaw Ave Ste A6
Fresno, CA 93711-3513
Phone (559) 222-2522

Other practice location 3

1450 E Prosperity Ave Ste 101
Tulare, CA 93274-8054
Phone (559) 377-4000

Other practice location 4

1479 W Lacey Blvd
Hanford, CA 93230-5906
Phone (559) 794-6030

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dadjoo and Cox Dental Corporation PC CurrentSince Aug 25, 2024 Accepting new patients
Bayrakdarian Visalia DMD Inc a California Professional Dental Office C Orthodontics and Dentofacial Orthopedics CurrentSince Jul 24, 2022 Accepting new patients
I J Bayrakdarian DMD a Professional Corporation Orthodontics and Dentofacial Orthopedics PastSince Jul 24, 2022 Accepting new patients
Bayrakdarian Hanford DMD Inc a California Professional Dental Office C Orthodontics and Dentofacial Orthopedics PastSince Oct 19, 2020 Accepting new patients
I J Bayrakdarian DMD a Professional Corporation Orthodontics and Dentofacial Orthopedics PastSince Jul 28, 2019 Accepting new patients
Bayrakdarian Madera, D.M.D., Inc., a Professional Dental Corporation Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Bayrakdarian Tulare, D.M.D., Inc., a Professional Corporation Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

427 W Nees Ave
Ste 101
Clovis, CA 93611
Phone (559) 297-2121

19950 Rinaldi St
Ste 306
Porter Ranch, CA 91326
Phone (818) 831-7600

5422 W Cypress Ave
Visalia, CA 93277
Phone (559) 222-2522

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1578185302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W NEES AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114434",
            "telephone_number": "832-584-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 W CYPRESS AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778340",
            "telephone_number": "585-275-8315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2377 W Cleveland Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936378754",
            "country_code": "US",
            "telephone_number": "559-660-5588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1616 W Shaw Ave Ste A6",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113513",
            "country_code": "US",
            "telephone_number": "559-222-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 E Prosperity Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tulare",
            "state": "CA",
            "postal_code": "932748054",
            "country_code": "US",
            "telephone_number": "559-377-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1479 W Lacey Blvd",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932305906",
            "country_code": "US",
            "telephone_number": "559-794-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DADJOO",
        "first_name": "SHAAHIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "105747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.