Active NPI
Babak Shemirani
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fremont, CA
National Provider Identifier
1609913813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 47561
- Practice address
- 3705 Beacon Ave Ste 100
Fremont, CA 94538-1467 - Phone
- (510) 793-9025
- Fax
- (510) 793-7704
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 47561 | CA | Primary |
Addresses
Primary practice location
3705 Beacon Ave Ste 100
Fremont, CA 94538-1467
Mailing address
3705 Beacon Ave Ste 100
Fremont, CA 94538-1467
Phone (510) 793-9025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D47561 | Medicaid | CA |
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 |
|---|---|---|---|
| 47561 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothill Dental Group | Current | Accepting new patients | |
| Foothill Dental Group | Current | Accepting new patients | |
| Western Dental Services, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
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- General Practice Dentistry
- Hayward, CA
- NPI 1467092577
-
- General Practice Dentistry
- Vacaville, CA
- NPI 1902942014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1609913813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 BEACON AVE STE 100",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381467",
"telephone_number": "510-793-9025",
"fax_number": "510-793-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 BEACON AVE STE 100",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381467",
"telephone_number": "510-793-9025",
"fax_number": "510-793-7704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEMIRANI",
"first_name": "BABAK",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "47561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D47561",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.