Shadi Ryad DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHADI RYAD DDS INC.

Practice address

1849 Willow Pass Rd Ste 400
Concord, CA 94520-2581

Phone

(747) 777-2613

NPI assigned

Jan 27, 2023

Last updated

Feb 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shadi Ryad, DDSNPI 1174906929

Title

President

Phone

(415) 684-3047

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shadi Ryad, DDS

  • Dentist
  • Concord, CA
  • NPI 1174906929
  NPD Authorized official

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1780390245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 JENSEN WAY",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 WILLOW PASS RD STE 400",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202581",
            "telephone_number": "747-777-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADI RYAD DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "RYAD",
        "authorized_official_first_name": "SHADI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-684-3047",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leyla Tatiana Sezen, B.A.
• Jakeisha A Shabazz
• Farkhanda Shabir
• Ashlei Shackelford
• Danielle B Shackleford
• Assadollah Shafaghi, PSY.D
• Sara Shafi
• Sonja Shafiei
• Prachi Shah
• Christina Shaheen

• General Practice Dentistry in Concord, CA
• Providers in Concord, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.