Shawn Taheri DDS, Ms Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

C43736 Issued in CA

Legal business name

SHAWN TAHERI DDS, MS INC

Practice address

704 Blossom Hill Rd
Suite 104
San Jose, CA 95123-5403

Phone

(408) 226-0323

NPI assigned

Jan 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Taheri, DDS, MS

Title

President

Phone

(408) 226-0323

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Roya Naderi, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1356366249
  NPD (past)
• Shahram Taheri, DDS, MS

  • Pediatric Dentistry
  • San Jose, CA
  • NPI 1972522209
  NPD (past)

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1780954057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 BLOSSOM HILL RD",
            "address_2": "SUITE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951235403",
            "telephone_number": "408-226-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 BLOSSOM HILL RD",
            "address_2": "SUITE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951235403",
            "telephone_number": "408-226-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN TAHERI DDS, MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "TAHERI",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-226-0323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "C43736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabnam Shavakh, PA
• Helen N. Shaw, D.C.
• Kyle A Shaw
• Nicole Leanne Shaw
• Salma Shaw
• Lelah Shayegi
• Manijeh Shayesteh, D.D.S
• Christine Shea
• Adele Marie Shediak, LMFT
• Guey-Chyn Sheen

• Pediatric Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.