Active NPI
Shiva Salehi, DDS
- Dentist
- San Jose, CA
National Provider Identifier
1952719288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63702
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171102003014 | CA | Order and Referring Only - Dentist | 3072879345 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shiva Salehi DDS a Dental Corp | Current | Accepting new patients | |
| Shiva Salehi DDS a Dental Corp | Current | 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.
-
- General Practice Dentistry
- Yuba City, CA
- NPI 1487445300
-
- General Practice Dentistry
- Fair Oaks, CA
- NPI 1568257624
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.