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SHADI JAVADI
NPI 1134655715
Dentist in Elk Grove, CA

Active since May 03, 2017
9700 WEST TARON DRIVE, CALIFORNIA NORTHSTATE UNIVERSITY, ELK GROVE, CA 95757(916) 686-7300 Get Directions Write a Review

NPPES record last updated: March 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2022, Feb 8, 2022 (2 updates tracked since 2022).

About Shadi Javadi NPPES

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

SHADI JAVADI (NPI 1134655715) is an individual dentist in Elk Grove, California, licensed in California (65031) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1134655715
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSHADI JAVADI
Location Address9700 WEST TARON DRIVE, CALIFORNIA NORTHSTATE UNIVERSITYElk Grove, CA 95757
Mailing Address731 16th Street, Apt 210Sacramento, CA 95814 · (347) 882-6436
Phone(916) 686-7300
Sole ProprietorNo
Enumeration DateMay 3, 2017
Last NPPES UpdateMarch 5, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1134655715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 65031
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9700 WEST TARON DRIVE, Elk Grove, CA 95757
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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 Shadi Javadi's NPI number?

The NPI number for Shadi Javadi is 1134655715. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Shadi Javadi located?

Shadi Javadi practices at 9700 West Taron Drive California Northstate University, Elk Grove, CA 95757. The listed phone number is (916) 686-7300.

What is Shadi Javadi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Shadi Javadi was last updated on March 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.