Shabnam Sedaghat, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037369 Issued in PA

Practice address

1701 E Moyamensing Ave
Philadelphia, PA 19148-1931

Phone

(215) 462-4047

NPI assigned

Dec 9, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Dentex Dental Group

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1770861130
  NPD (past)
• Philadelphia Dental

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1306734447
  NPD (past)

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1922337609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 S WATERLOO RD",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331832",
            "telephone_number": "610-325-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E MOYAMENSING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481931",
            "telephone_number": "215-462-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAGHAT",
        "first_name": "SHABNAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Secure Labs LLC
• Secure Labs LLC
• Daisy Seda
• Paul J Sedacca, MD
• Parisa Sedaghat, MD
• Sedgley Plaza Pharmacy Inc
• Gillian Bach Sedigh Haghighat, MD
• Jeanianne T Sedlack, MD
• Armando Sedo Jr.
• Sandi Mae Vivienne See Tai, M.D.

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.