Organization Active NPI

Dr Shahoveisi Inc

  • Dental Clinic/Center
  • Corona, CA
National Provider Identifier
1699242834
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR SHAHOVEISI INC
Practice address
161 N McKinley St Ste 102
Corona, CA 92879-6530
Phone
(951) 737-3746
Fax
(951) 339-9139
NPI assigned
Oct 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Dr. Hesam Shahoveisi, DMDNPI 1083764674
Title
Owner
Phone
(951) 737-3746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

161 N McKinley St Ste 102
Corona, CA 92879-6530

Mailing address

161 N McKinley St Ste 102
Corona, CA 92879-6530
Phone (951) 737-3746

National Provider Directory

National Provider Directory

Locations

161 N McKinley St
Ste 102
Corona, CA 92879
Phone (951) 737-3746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1699242834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 N MCKINLEY ST STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796530",
            "telephone_number": "951-737-3746",
            "fax_number": "951-339-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 N MCKINLEY ST STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796530",
            "telephone_number": "951-737-3746",
            "fax_number": "951-339-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHAHOVEISI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "SHAHOVEISI",
        "authorized_official_first_name": "HESAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-737-3746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.