Omid Shayan DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OMID SHAYAN DDS INC

Practice address

9922 Walker St Ste C
Cypress, CA 90630-3097

Phone

(714) 220-0354

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Omid ShayanNPI 1275714552

Title

President

Phone

(310) 433-7793

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omid Shayan, D.D.S

  • Dentist
  • Cypress, CA
  • NPI 1275714552
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1992328108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9922 WALKER ST STE C",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9922 WALKER ST STE C",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303097",
            "telephone_number": "714-220-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMID SHAYAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "SHAYAN",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-433-7793"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Cypress, CA
• Providers in Cypress, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.