Shahriar H Agahi, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

101025 Issued in CA

Practice address

30451 Avenida de Las Flores Unit C
Rancho Santa Margarita, CA 92688-3953

Phone

(949) 637-3976

NPI assigned

Jun 13, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Arman Dental Corporation

  • Dentist
  • Rancho Santa Margarita, CA
  • NPI 1508525171
  NPD
• Sharam Ghodsi D D S Inc

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1447336086
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1609226497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30451 AVENIDA DE LAS FLORES UNIT C",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883953",
            "telephone_number": "949-298-8668",
            "fax_number": "949-298-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30451 AVENIDA DE LAS FLORES UNIT C",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883953",
            "telephone_number": "949-637-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAHI",
        "first_name": "SHAHRIAR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101025",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101025",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "S4-121",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "101025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Irene Acorn, M.S., CCC-SLP
• Alison Leigh Adams, OTR/L
• Aden Global LLC
• Mark Edward Adlard, M.D.
• Advanced Center for Sports & Musculoskeletal Medicine Inc
• Ahmad Aghakhan-Moheb, D.D.S.
• Kimberly Aguilar, DNP FNP-C, RN
• John Alexander Aguilera, D.D.S
• Ryan K Ah San, PA-C
• Katherine Alfieri

• Periodontics in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.