NPIMap

Organization Active NPI

Shahriyarpour and Shafaee Dental Practice Inc.

Doing business as Barranca Canyon Dentistry

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1871763466
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49212 Issued in CA
Legal business name
SHAHRIYARPOUR AND SHAFAEE DENTAL PRACTICE INC.
Doing business as
Barranca Canyon Dentistry
Practice address
15785 Laguna Canyon Rd
Suite #270
Irvine, CA 92618-3165
Phone
(949) 654-4654
Fax
(949) 654-4645
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Dr. Samira Shafaee, D.D.S.NPI 1023198579
Title
Owner Dentist
Phone
(949) 654-4654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49212 CA Primary

Addresses

Primary practice location

15785 Laguna Canyon Rd
Suite #270
Irvine, CA 92618-3165

Mailing address

15785 Laguna Canyon Rd
Suite #270
Irvine, CA 92618-3165
Phone (949) 654-4654

Other names 1

  • Barranca Canyon Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

15785 Laguna Canyon Rd
Ste 270
Irvine, CA 92618
Phone (949) 654-4654

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1871763466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD",
            "address_2": "SUITE #270",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183165",
            "telephone_number": "949-654-4654",
            "fax_number": "949-654-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD",
            "address_2": "SUITE #270",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183165",
            "telephone_number": "949-654-4654",
            "fax_number": "949-654-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRIYARPOUR AND SHAFAEE DENTAL PRACTICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "SHAFAEE",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "949-654-4654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barranca Canyon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.