Shahnaz Bonyanpoor, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

44292 Issued in CA

Practice address

62 Corporate Park
Suite 135
Irvine, CA 92606-3122

Phone

(949) 252-9950

Fax

(949) 252-9959

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Shahnaz Bonyanpoor

  • Pediatric Dentistry
  • Irvine, CA
  • NPI 1841483740
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1851492029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CORPORATE PARK",
            "address_2": "SUITE 135",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926063122",
            "telephone_number": "949-252-9950",
            "fax_number": "949-252-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CORPORATE PARK",
            "address_2": "SUITE 135",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926063122",
            "telephone_number": "949-252-9950",
            "fax_number": "949-252-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONYANPOOR",
        "first_name": "SHAHNAZ",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "44292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9298501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Bonilla Llamas
• Cara Bonilla
• Jimmy Bonilla
• Janaeja Bonton
• Rosemarie Diane Bonvecchio, O.D.
• Megan Bonynge, LMFT
• Seyedeh Hasti Borghei
• Eduardo Borja
• Cristen Bornancini
• Azra Borogovac, M.D.

• Pediatric Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.