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DR. SHIRIN SHAHINFAR IMANI DDS
NPI 1174650543
Dentist - General Practice in San Mateo, CA

Active since February 27, 2007Opted out of Medicare · through Jul 7, 2027
675 MARINERS ISLAND BLVD, SUITE 110, SAN MATEO, CA 94404(650) 577-1988(650) 577-0835 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shirin Shahinfar Imani Dds NPPES

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

DR. SHIRIN SHAHINFAR IMANI DDS (NPI 1174650543) is an individual general practice provider in San Mateo, California, licensed in California (42093) and active in the NPI registry since February 2007. She has opted out of Medicare through July 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174650543
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHIRIN SHAHINFAR IMANICredential: DDS
Location Address675 MARINERS ISLAND BLVD, SUITE 110San Mateo, CA 94404
Mailing Address675 Mariners Island Blvd, Suite 110San Mateo, CA 94404 · (650) 577-1988 · Fax (650) 577-0835
Phone(650) 577-1988
Fax(650) 577-0835
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174650543 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 · 42093
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.
675 MARINERS ISLAND BLVD, San Mateo, CA 94404
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Other Names 1

Other Name (5)Mrs. Shirin Shahinfar Imani Dds

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shirin Shahinfar Imani Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 7, 2013 through July 7, 2027.

Opt-Out Effective DateJuly 7, 2013
Opt-Out In Effect ThroughJuly 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

SHIRIN SHAHINFAR IMANI DDS INC
Dentist (General Practice)
675 MARINERS ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
San Mateo County (650) 577-1988
DR. MAY W LIU DDS
Dentist (General Practice)
675 MARINERS ISLAND BLVD, #110
SAN MATEO, CA 94404
San Mateo County (650) 577-1988

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 Shirin Imani's NPI number?

The NPI number for Shirin Imani is 1174650543. It was assigned to this individual provider in the NPPES registry on February 27, 2007. The provider is also known as Mrs. Shirin Shahinfar Imani Dds.

Where is Shirin Imani located?

Shirin Imani practices at 675 Mariners Island Blvd Suite 110, San Mateo, CA 94404. The listed phone number is (650) 577-1988.

What is Shirin Imani's specialty?

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

Is Shirin Imani enrolled in Medicare?

No. Shirin Imani has opted out of Medicare through July 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shirin Imani was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.