DR. SHAHRAM TAHERI (NPI# 1972522209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972522209 |
| Entity Type | Individual |
| Full Name | DR. SHAHRAM TAHERI |
| Other Name | DR. SHAWN -------- TAHERI |
| Credential | DDS, MS |
| Practice Address |
704 Blossom Hill Rd Suite 104 San Jose CA 95123-5403 |
| Practice Telephone | 4082260323 |
| Practice Fax Number | 4082264418 |
| Mailing Telephone | 4082260323 |
| Mailing Fax Number | 4082264418 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
43736 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033220835 | Shahram Taheri | Anesthesiology | 10921cherry Street, Suite 100, Los Alamitos, CA 90720 | 2006-08-31 |
| Street Address |
704 BLOSSOM HILL RD SUITE 104 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356366249 | Roya Naderi | Dentist | 704 Blossom Hill Rd, Suite 104, San Jose, CA 95123-5403 | 2006-07-13 |
| 1780954057 | Shawn Taheri Dds, Ms Inc | Dentist | 704 Blossom Hill Rd, Suite 104, San Jose, CA 95123-5403 | 2012-01-04 |
| 1538496039 | Noorolhoda Aslani | Dentist | 704 Blossom Hill Rd, #103, San Jose, CA 95123-5403 | 2009-11-04 |
| 1487876728 | John Taylor Wilkinson | Dentist | 704 Blossom Hill Rd, Suite 101, San Jose, CA 95123-5403 | 2007-05-03 |
| 1093933822 | Neelima P Naidu | Dentist | 704 Blossom Hill Rd, Suite 100, San Jose, CA 95123-5403 | 2007-04-24 |
| 1023165628 | James M Masuda | Dentist | 704 Blossom Hill Rd, Suite 106, San Jose, CA 95123-5403 | 2007-01-04 |
| 1639275217 | Ned Leonard Nix | Dentist | 704 Blossom Hill Rd, Suite 102, San Jose, CA 95123-5403 | 2006-09-15 |
| 1871505354 | Richard Craig Farrington | Dentist | 704 Blossom Hill Rd, #105, San Jose, CA 95123-5403 | 2006-08-12 |
| 1902825664 | Stanley E Wong | Dentist | 704 Blossom Hill Rd, Suite 103, San Jose, CA 95123-5403 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932512647 | Agelina Paek | Dentist | 6942 Almaden Expy, San Jose, CA 95120-3201 | 2014-06-10 |
| 1053748608 | Vincent D Van | Dentist | 1771 Trudean Way, San Jose, CA 95132-1540 | 2013-09-27 |
| 1013265602 | Nguyen and Tran Dental Corporation | Dentist | 2680 S White Rd Ste 255, San Jose, CA 95148-2080 | 2012-08-29 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1962792887 | My Phuong Pham | Dentist | 2810 Deerwood Dr, San Jose, CA 95148-2625 | 2011-04-12 |
| 1124272919 | Suzanne Nguyen | Dentist | 1569 Lexann Ave Ste 222, San Jose, CA 95121-1795 | 2008-11-06 |
| 1609041482 | Scott Jacks, Dds, Inc | Dentist | 1153 S King Rd, San Jose, CA 95122-2144 | 2008-04-23 |
| 1891847596 | Cyrus M Akhbari I | Dentist | 1201 Park Ave, Suite#2, San Jose, CA 95126-2919 | 2007-01-16 |
| 1003980194 | Joseph Derek Fridgen | Dentist | 189 N Bascom Ave Ste 200, San Jose, CA 95128-1869 | 2006-11-20 |
| 1700957297 | Marilou D Navarro | Dentist | 750 N Capitol Ave Ste C2, San Jose, CA 95133-1942 | 2006-11-13 |
| Find all providers in SAN JOSE | ||||
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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.