Shahin Pahlevani D.M.D Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHAHIN PAHLEVANI D.M.D INC.

Doing business as

Form Dental Studio

Practice address

4135 Blackhawk Plaza Cir Ste 200
Danville, CA 94506-4655

Phone

(925) 217-0000

Fax

(925) 575-8020

NPI assigned

Apr 27, 2026

Last updated

Apr 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahin Pahlevani, DMDNPI 1710500954

Title

Owner

Phone

(925) 217-0000

Specialties & licenses 1

Addresses

Other names 1

• Form Dental Studio Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahin Pahlevani, DMD

  • Dentist
  • Danville, CA
  • NPI 1710500954

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1922944602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 BLACKHAWK PLAZA CIR STE 200",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064655",
            "telephone_number": "925-217-0000",
            "fax_number": "925-575-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 BLACKHAWK PLAZA CIR STE 200",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064655",
            "telephone_number": "925-217-0000",
            "fax_number": "925-575-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIN PAHLEVANI D.M.D INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "PAHLEVANI",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-217-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Form Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janelle Serrano
• Clifford John Sewell, M.D.
• Jamie Vanessa Shackelford, RD
• Sarika Shah, RD
• Sheetal Ashish Shah, D.O.
• Sara Shahnavaz, DDS
• Hennah Shamel, PA-C
• Xiaoqian Shao, MS
• Steven How-Han Sheh, M.D., M.S.
• Salim M. Shelby, M.D.

• General Practice Dentistry in Danville, CA
• Providers in Danville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.