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DR. SHAHRAM KHODAI D.D.S.
NPI 1104966332
Dentist - General Practice in Roseville, CA

Active since February 07, 2007
3984 DOUGLAS BLVD, SUITE 170, ROSEVILLE, CA 95661(916) 771-0330(916) 880-5354 Get Directions Write a Review

NPPES record last updated: June 2, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Shahram Khodai D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHAHRAM KHODAI D.D.S. (NPI 1104966332) is an individual general practice provider in Roseville, California, licensed in California (43027) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1104966332
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHAHRAM KHODAICredential: D.D.S.
Location Address3984 DOUGLAS BLVD, SUITE 170Roseville, CA 95661-4245
Mailing Address3984 Douglas Blvd, Suite 170Roseville, CA 95661-4245 · (916) 771-0330 · Fax (916) 880-5354
Phone(916) 771-0330
Fax(916) 880-5354
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJune 2, 2010
✔ NPI 1104966332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 43027
Definition
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.
3984 DOUGLAS BLVD, Roseville, CA 95661
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIAMAK OKHOVAT, DDS, INC
Dentist (General Practice)
3984 DOUGLAS BLVD, SUITE 170
ROSEVILLE, CA 95661
Placer County (916) 783-2333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shahram Khodai's NPI number?

The NPI number for Shahram Khodai is 1104966332. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Shahram Khodai located?

Shahram Khodai practices at 3984 Douglas Blvd Suite 170, Roseville, CA 95661. The listed phone number is (916) 771-0330.

What is Shahram Khodai's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Shahram Khodai accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Shahram Khodai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shahram Khodai was last updated on June 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.