Individual provider Active NPI

Varahram Mehraban Shahriari

  • Dentist
  • Naples, FL
National Provider Identifier
1952954778
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24429 Issued in FL
Practice address
4280 Tamiami TRL E Ste 201
Naples, FL 34112-6701
Phone
(239) 300-2398
NPI assigned
Jul 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN24429 FL Primary

Addresses

Primary practice location

4280 Tamiami TRL E Ste 201
Naples, FL 34112-6701

Mailing address

320 Quail Forest Blvd Apt 406
Naples, FL 34105-5520
Phone (669) 888-6146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN24429FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563667200000",
    "number": "1952954778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 QUAIL FOREST BLVD APT 406",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055520",
            "telephone_number": "669-888-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 TAMIAMI TRL E STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126701",
            "telephone_number": "239-300-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRABAN SHAHRIARI",
        "first_name": "VARAHRAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-21",
        "last_updated": "2019-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; 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.