ORANGECREST FAMILY DENTAL PRACTICE
NPI 1124360417
Dentist - General Practice in Riverside, CA
About Orangecrest Family Dental Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORANGECREST FAMILY DENTAL PRACTICE (NPI 1124360417) is a healthcare organization registered as a general practice in Riverside, California and active in the NPI registry since March 2013. The organization lists Sheida Mohammadizadeh, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Orangecrest Family Dental Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Orangecrest Family Dental Practice, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sheida Mohammadizadeh Dds, Inc's NPI number?
The NPI number for Sheida Mohammadizadeh Dds, Inc is 1124360417. It was assigned to this organization in the NPPES registry on March 25, 2013. The provider is doing business as Orangecrest Family Dental Practice.
Where is Sheida Mohammadizadeh Dds, Inc located?
Sheida Mohammadizadeh Dds, Inc is located at 19348 Van Buren Blvd Ste 117, Riverside, CA 92508. The listed phone number is (951) 789-9905.
What is Sheida Mohammadizadeh Dds, Inc's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Sheida Mohammadizadeh Dds, Inc enrolled in Medicare?
Yes. Sheida Mohammadizadeh Dds, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sheida Mohammadizadeh Dds, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Sheida Mohammadizadeh Dds, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sheida Mohammadizadeh Dds, Inc was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Orangecrest Family Dental Practice · NPI 1124360417
General Practice organization in Riverside, California. Organization record, active in the CMS NPPES registry since March 25, 2013.
## Identity
- **NPI:** 1124360417 (Entity type: Organization)
- **Enumerated:** March 25, 2013
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Legal business name:** Sheida Mohammadizadeh Dds, Inc
- **Organization subpart:** No
- **Authorized official:** Sheida Mohammadizadeh, OWNER
## Practice location
- **Address:** 19348 VAN BUREN BLVD STE 117, Riverside, CA 92508-9158
- **Phone:** (951) 789-9905
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1124360417) · Data from the CMS NPPES public registry.