Individual provider Active NPI

Soheil Shahri, DDS

  • General Practice Dentistry
  • Beverly Hills, CA
National Provider Identifier
1811473770
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
102784 Issued in CA
Practice address
350 S Beverly Dr Ste 180
Beverly Hills, CA 90212-4815
Phone
(310) 277-3451
NPI assigned
Jul 13, 2018
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 102784 CA Primary

Addresses

Primary practice location

350 S Beverly Dr Ste 180
Beverly Hills, CA 90212-4815

Mailing address

350 S Beverly Dr Ste 180
Beverly Hills, CA 90212-4815
Phone (310) 277-3451

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shahri Dental Corp General Practice CurrentSince Nov 3, 2024 Accepting new patients

Locations

350 S Beverly Dr
Ste 180
Beverly Hills, CA 90212
Phone (310) 277-3451

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1811473770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S BEVERLY DR STE 180",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124815",
            "telephone_number": "310-277-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S BEVERLY DR STE 180",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124815",
            "telephone_number": "310-277-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHRI",
        "first_name": "SOHEIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.