Shahin Javidi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DDS108981 Issued in CA

Practice address

4491 W Northern Ave
Glendale, AZ 85301-1649

Phone

(623) 931-5321

NPI assigned

Jul 25, 2022

Last updated

Sep 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Dental Professionals, P.C.

  dba Smiles on Northern

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1811207715
  NPD (past)
• Nelson Family Dentistry, PC

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1447439732
  NPD (past)

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1639805476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N 2ND AVE APT 414",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850033509",
            "telephone_number": "925-285-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4491 W NORTHERN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011649",
            "telephone_number": "623-931-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVIDI",
        "first_name": "SHAHIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS108981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gissell Jaracuaro
• Donald E Jarnagin, OD
• Macie Jarrett Goodale
• Stephen Jaszkowiak, D.O.
• Saurabh Jauhari, MD
• Sundararajan Jayachandran, M.D
• JD Lifesolution, LLC
• JDH Chiropractic Inc (Haggard Chiropractic)
• Corinne E Jedynak-Bell, D.O.
• Jeffrey D. Laufenberg D.C., P.C.

• Dentist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.