Sadaf Shadpour

Primary specialty

DentistTaxonomy code 122300000X

License

107952 Issued in CA

Practice address

10913 Venice Blvd
Los Angeles, CA 90034-7009

Phone

(310) 873-3331

NPI assigned

Sep 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1881315315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10647 WILKINS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245898",
            "telephone_number": "310-597-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10913 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900347009",
            "telephone_number": "310-873-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADPOUR",
        "first_name": "SADAF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadle Chiropractic Prof. Corp.
• Henry Houshang Shadman, D.D.S.
• Parastoo Shadmani, RD
• Jason Jacob Shadpour, DDS
• Joseph Matthew Shadpour, DO
• Aida Shadrav, DMD
• Sonya Shadravan
• Doris Shadrooz, PT
• Sydney Rae Shaevel, MFT
• Shafa Physical Therapy, Sport Injury and Rehabilitation Center, Inc.

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.