Individual provider Active NPI

Shiva Salehi, DDS

  • Dentist
  • San Jose, CA
National Provider Identifier
1952719288
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63702 Issued in CA
Practice address
801 S Winchester Blvd
Apt 2303
San Jose, CA 95128-2902
Phone
(818) 797-6582
NPI assigned
Jul 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63702 CA Primary

Addresses

Primary practice location

801 S Winchester Blvd
Apt 2303
San Jose, CA 95128-2902

Mailing address

801 S Winchester Blvd
Apt 2303
San Jose, CA 95128-2902
Phone (818) 797-6582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171102003014 CA Order and Referring Only - DentistPractitioner - Dentist 3072879345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shiva Salehi DDS a Dental Corp Current Accepting new patients
Shiva Salehi DDS a Dental Corp CurrentSince Apr 13, 2025 Accepting new patients

Locations

8128 Madison Ave
Fair Oaks, CA 95628
Phone (916) 229-8283

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1952719288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S WINCHESTER BLVD",
            "address_2": "APT 2303",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282902",
            "telephone_number": "818-797-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S WINCHESTER BLVD",
            "address_2": "APT 2303",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282902",
            "telephone_number": "818-797-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEHI",
        "first_name": "SHIVA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.