SHAHRAM SHIDMAND DDS INC (NPI# 1073720504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073720504 |
| Entity Type | Organization |
| Organization Name | SHAHRAM SHIDMAND DDS INC |
| Practice Address |
1211 N Del Mar Ave Fresno CA 93728-1958 |
| Practice Telephone | 5594978300 |
| Practice Fax Number | 5594971501 |
| Mailing Telephone | 5594978300 |
| Mailing Fax Number | 5594971501 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SEAN SHIDMAND (PRESIDENT) |
| Authorized Official Telephone | 5594798300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
48018 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G92364-01 | 05 |
| Street Address |
1211 N DEL MAR AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93728-1958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184830150 | Del Mar Dental Group | Dentist | 1211 N Del Mar Ave, Fresno, CA 93728-1958 | 2007-05-15 |
| 1154953669 | Dr. Ramirez & Dr. Urruchi Dental Group Inc | Clinic/Center | 1211 N Del Mar Ave, Fresno, CA 93728-1958 | 2020-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1750873717 | Focus Forward | Case Management | 732 N. Van Ness Ave, Fresno, CA 93728 | 2018-06-05 |
| 1811167927 | Rita Elizabeth Stevenson | Counselor | 1027 N Van Ness Ave, Fresno, CA 93728 | 2008-03-04 |
| 1578784153 | Ann B. White | Psychologist | 938 N. Van Ness Avenue, Fresno, CA 93728 | 2007-05-01 |
| 1891912283 | B & B Management Inc. | Dentist | 1215 N. Del Mar Ave., Fresno, CA 93728 | 2007-04-19 |
| 1285858696 | Geoffrey Landon Smith | Marriage & Family Therapist | 1055 N. Van Ness, Suite I, Fresno, CA 93728 | 2007-04-13 |
| 1225152077 | Melva Robinson | Licensed Vocational Nurse | 539 N Van Ness, Fresno, CA 93728 | 2007-03-19 |
| 1508902131 | Lauro Samson So | Dentist | 1436 E Olive Ave, Fresno, CA 93728 | 2007-01-30 |
| 1922467083 | Karie Jean Follis | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728 | 2016-02-17 |
| 1013216969 | Elena Soza | Counselor | 2731 W Olive Ave, Fresno, CA 93728 | 2011-03-17 |
| Find all providers in zip 93728 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715711 | Jesse Rosete | Dentist | 7125 N Chestnut Ave Ste 107, Fresno, CA 93720-0358 | 2020-09-17 |
| 1609403500 | Lindsay S Takeda Dds Inc | Dentist | 1394 E Alluvial Ave Ste 104, Fresno, CA 93720-2696 | 2020-03-23 |
| 1144788910 | Ravinder Kaur | Dentist | 2676 N Cecelia Ave, Fresno, CA 93722-6866 | 2019-03-11 |
| 1104381110 | Diana Correavelosa Dds Inc | Dentist | 7614 N Fresno St Ste 105, Fresno, CA 93720-7406 | 2019-02-04 |
| 1396209821 | Ehsan Diab Dental Company Inc. | Dentist | 1665 W Shaw Ave Ste 103, Fresno, CA 93711-3508 | 2019-01-29 |
| 1174094734 | Mohammed Shafayetul Islam | Dentist | 2610 E Nees Ave Apt 133, Fresno, CA 93720-6016 | 2018-12-07 |
| 1073023172 | Jungsuk Suh | Dentist | 4747 N 1st St Ste 174, Fresno, CA 93726-0517 | 2017-10-03 |
| 1033632435 | Laine Alise Janzen | Dentist | 7730 N Fresno St Ste 101, Fresno, CA 93720-2408 | 2017-07-18 |
| 1710416847 | Leticia D Ramirez | Dentist | 3248 E Shields Ave Ste B, Fresno, CA 93726-6915 | 2017-06-12 |
| 1679008262 | Raymond M Cheung | Dentist | 7770 N Fresno St Ste 105, Fresno, CA 93720 | 2017-04-21 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.