Active NPI
Marjan Shahkarami, DDS
- Dentist
- San Jose, CA
National Provider Identifier
1982943148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43245
- Practice address
- 3992 S Bascom Ave
Suite 3
San Jose, CA 95124-2663 - Phone
- (408) 371-8836
- Fax
- (408) 371-8839
- NPI assigned
- Feb 7, 2013
- 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 | 43245 | CA | Primary |
Addresses
Primary practice location
3992 S Bascom Ave
Suite 3
San Jose, CA 95124-2663
Mailing address
3992 S Bascom Ave
Suite 3
San Jose, CA 95124-2663
Phone (408) 371-8836
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
| License | State | Type | Specialty |
|---|---|---|---|
| 43245 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1982943148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3992 S BASCOM AVE",
"address_2": "SUITE 3",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951242663",
"telephone_number": "408-371-8836",
"fax_number": "408-371-8839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3992 S BASCOM AVE",
"address_2": "SUITE 3",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951242663",
"telephone_number": "408-371-8836",
"fax_number": "408-371-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHKARAMI",
"first_name": "MARJAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-07",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43245",
"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 Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.