Shawn Davaie Motlagh DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2013041566 Issued in MO

Legal business name

SHAWN DAVAIE MOTLAGH DDS PC

Practice address

1333 W Outer 21 Rd
Arnold, MO 63010-3239

Phone

(636) 333-3304

NPI assigned

Jan 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Davaie Motlagh, D.D.S.

Title

President/Owner

Phone

(949) 307-9144

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1861882862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W OUTER 21 RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103239",
            "telephone_number": "636-333-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W OUTER 21 RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103239",
            "telephone_number": "636-333-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN DAVAIE MOTLAGH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "DAVAIE MOTLAGH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "949-307-9144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2013041566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "1992137210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Seawel
• Marna M Seep, OTR/L
• Katherine Seiffert
• Colleen Semmler, MOT OTR/L
• Sanjay Sharma, DO
• Marti Shedron, MS, CCC/SLP
• Laura Shelton
• Lindsey Shelton
• Victoria Shipp
• Nathan Shumaker

• General Practice Dentistry in Arnold, MO
• Providers in Arnold, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.