Shirin Rahimian, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60363 Issued in CA

Practice address

5412 Blackhawk Dr
Plano, TX 75093-2807

Phone

(415) 205-1347

NPI assigned

Apr 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1801187240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 BLACKHAWK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932807",
            "telephone_number": "415-205-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 BLACKHAWK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932807",
            "telephone_number": "415-205-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIMIAN",
        "first_name": "SHIRIN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26056",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Ragsdale, M.D.
• Amanda Rose Ragula, LPC
• Salman Azhar Raheem, D.O.
• Sina Rahesh, DO
• Danial Rahim, DDS
• Shahista Rahman
• Sophia Rahman, M.D.
• Margaret Ann Raidt, L.P.C., L.M.F.T.
• Bruce Railey, M.D.
• Judy Hsieh Rainey, LPC

• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.