1. Home
  2. Directory
  3. California
  4. Irvine
  5. Dentist
  6. NPI Profile

SHADY KEROLLES DDS
NPI 1215629498
Dentist in Irvine, CA

Active since May 24, 2023
15342 SAVERNE CIR, IRVINE, CA 92604(714) 402-8237 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2023, May 24, 2023 (2 updates tracked since 2023).

About Shady Kerolles Dds NPPES

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

SHADY KEROLLES DDS (NPI 1215629498) is an individual dentist in Irvine, California, licensed in California (109121) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1215629498
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSHADY KEROLLESCredential: DDS
Location Address15342 SAVERNE CIRIrvine, CA 92604-2942
Mailing Address15342 Saverne CirIrvine, CA 92604-2942 · (714) 402-8237
Phone(714) 402-8237
Sole ProprietorYes
Enumeration DateMay 24, 2023
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1215629498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 109121
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
15342 SAVERNE CIR, Irvine, CA 92604
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Shady Kerolles's NPI number?

The NPI number for Shady Kerolles is 1215629498. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Where is Shady Kerolles located?

Shady Kerolles practices at 15342 Saverne Cir, Irvine, CA 92604. The listed phone number is (714) 402-8237.

What is Shady Kerolles's specialty?

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

What insurance does Shady Kerolles accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Shady Kerolles 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 Shady Kerolles was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.