Shiva Sheikholeslam, D.M.D., M.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

54975 Issued in CA

Practice address

731 Altos Oaks Dr
Los Altos, CA 94024-5402

Phone

(650) 948-6884

Fax

(650) 948-7244

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Pediatric Dentistry of Los Altos

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Altos, CA
  • NPI 1679797930
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710108683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 OCTAVIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941232211",
            "telephone_number": "415-374-7224",
            "fax_number": "650-938-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 ALTOS OAKS DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245402",
            "telephone_number": "650-948-6884",
            "fax_number": "650-948-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKHOLESLAM",
        "first_name": "SHIVA",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "54975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yihsin Megan Shang, R.PH.
• Jerrold Lee Shapiro, PH.D.
• Ilana Sharaun, M.F.T
• Barbara Jean Shea, PH.D.
• Ella Shechtman-Cory, PH.D.
• Gail H C Shen, PH.D.
• Kathleen Shen, OD
• Anna Sheng
• Karen Shin, MD
• Sachiko Shirota

• Orthodontics and Dentofacial Orthopedics Dentistry in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.