DR. TIMOTHY SAMUEL SHAHBAZIAN (NPI# 1811037252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811037252 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY SAMUEL SHAHBAZIAN |
| Credential | DDS |
| Practice Address |
2111 Parkside Dr Suite B Fremont CA 94536-5325 |
| Practice Telephone | 5107979100 |
| Practice Fax Number | 5107973429 |
| Mailing Telephone | 5107979100 |
| Mailing Fax Number | 5107973429 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
28087 | CA | Dental Providers |
| Street Address |
2111 PARKSIDE DR SUITE B |
| City | FREMONT |
| State | CA |
| Zip Code | 94536-5325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932365202 | Jason Law | Dentist | 2111 Parkside Dr, Suite C, Fremont, CA 94536-5221 | 2008-08-05 |
| 1790998649 | Patricia Sing Choi Dds, Ms, Inc | Dentist | 2111 Parkside Dr, Suite A, Fremont, CA 94536-5221 | 2007-05-08 |
| 1871624528 | Jason G. Law Dds Apdc | Dentist | 2111 Parkside Dr, Suite C, Fremont, CA 94536-5221 | 2007-03-07 |
| 1326189028 | Oralcare Associates | Dentist | 2111 Parkside Dr, Suite B, Fremont, CA 94536-5325 | 2007-02-08 |
| 1942340385 | Dale Howard Minkin | Dentist | 2111 Parkside Dr, Suite B, Fremont, CA 94536-5325 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342036 | Aria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 37179 Fremont Blvd, Fremont, CA 94536 | 2020-10-06 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| 1972958247 | Priyanka Gwalani | Internal Medicine | 656 Mowry Ave., Fremont, CA 94536 | 2016-04-25 |
| 1700258522 | Mats Hellsten | Marriage & Family Therapist | 38950 Blacow Road, Suite D, Fremont, CA 94536 | 2015-10-21 |
| 1255727293 | Nicholas Andrew Phillips | Family Medicine | 556 Mowry Ave Ste 200, Fremont, CA 94536 | 2015-04-07 |
| 1356735120 | Anthony Chukwunonso Okereke | Pharmacist | 35829 Cabrillo Drive, Fremont, CA 94536 | 2015-03-19 |
| 1992118590 | Aaron Jake Bera | Chiropractor | 35666 Gleason Ln, Fremon, CA 94536 | 2014-06-11 |
| 1467898809 | Vijayalakshmi Natarajan | Health Educator | 4941 Roselle Cmn, Fremont, CA 94536 | 2013-05-13 |
| 1184968919 | Linda Kim | Behavioral Analyst | 3750 Tamayo St Apt 93, Fremont, CA 94536 | 2012-11-16 |
| 1346518487 | Arsen Rhoel Donesa | Dentist | 37149 Fremont Boulevard, Fremont, CA 94536 | 2011-12-04 |
| Find all providers in zip 94536 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033260534 | Norman Gong Wat | Dentist | 38149 Martha Ave, Fremont, CA 94536-3800 | 2007-01-13 |
| 1992314421 | Center for Implant Dentistry Prestige Dental Group | Dentist | 3381 Walnut Ave, Fremont, CA 94538-2217 | 2020-07-30 |
| 1902112329 | Stephen Takashi Gong Wat | Dentist | 38149 Martha Ave, Fremont, CA 94536-3800 | 2010-08-23 |
| 1629299243 | Albert C Tso | Dentist | 39560 Stevenson Pl, Suite 116, Fremont, CA 94539-3074 | 2007-05-01 |
| 1326189028 | Oralcare Associates | Dentist | 2111 Parkside Dr, Suite B, Fremont, CA 94536-5325 | 2007-02-08 |
| 1942340385 | Dale Howard Minkin | Dentist | 2111 Parkside Dr, Suite B, Fremont, CA 94536-5325 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
| 1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
| 1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
| 1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. TIMOTHY SAMUEL SHAHBAZIAN.
| 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.