Shahin Taghikhan, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

64075 Issued in CA

Practice address

704 Blossom Hill Rd Ste 102
San Jose, CA 95123-5403

Phone

(408) 225-5000

Fax

(408) 225-5020

NPI assigned

Jun 19, 2014

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: thuynh169962@santaclaravalley.direct-ci.net

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.

• M Elder Dental Group Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • San Jose, CA
  • NPI 1215599394
  NPD (past)
• Ned L. Nix, DDS, Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Jose, CA
  • NPI 1013495985
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1861806507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 BLOSSOM HILL RD STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951235403",
            "telephone_number": "084-225-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 BLOSSOM HILL RD STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951235403",
            "telephone_number": "408-225-5000",
            "fax_number": "408-225-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGHIKHAN",
        "first_name": "SHAHIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12012923A",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "64075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saman Tafazoli
• Yosmary Itzel Tafolla Chavez
• Evelyn Tafoya
• Keith Taft Jr.
• Eric James Taggart, B.A.
• Sabina Tah May, LCSW
• Anoushka Tahaei, MFTI
• Sogand Tahamtan
• Natalie Tahara, OTR/L
• Mitra N/a Taheri

• Oral and Maxillofacial Surgery (Dentist) in San Jose, CA
• Providers in San Jose, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.