Individual provider Active NPI

Shayan Dadgar, DDS

  • Dentist
  • Alameda, CA
National Provider Identifier
1770316101
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110437 Issued in CA
Practice address
2601 Blanding Ave Ste C122
Alameda, CA 94501-1579
Phone
(310) 431-9414
NPI assigned
Aug 21, 2024
Last updated
Mar 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 110437 CA Primary

Addresses

Primary practice location

2601 Blanding Ave Ste C122
Alameda, CA 94501-1579

Mailing address

2601 Blanding Ave Ste C122
Alameda, CA 94501-1579
Phone (310) 431-9414

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

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1770316101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BLANDING AVE STE C122",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011579",
            "telephone_number": "310-431-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 BLANDING AVE STE C122",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011579",
            "telephone_number": "310-431-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADGAR",
        "first_name": "SHAYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; 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.