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SHAGHAYEGH KHODADADZADEH
NPI 1285041475
Dentist in Encino, CA

Active since July 19, 2014PECOS Enrolled
5350 WHITE OAK AVE APT 409, ENCINO, CA 91316(310) 429-4210 Get Directions Write a Review

NPPES record last updated: July 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaghayegh Khodadadzadeh NPPES

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

SHAGHAYEGH KHODADADZADEH (NPI 1285041475) is an individual dentist in Encino, California, licensed in California (63674) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285041475
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSHAGHAYEGH KHODADADZADEH
Location Address5350 WHITE OAK AVE APT 409Encino, CA 91316-4531
Mailing Address5350 White Oak Ave Apt 409Encino, CA 91316-4531 · (310) 429-4210
Phone(310) 429-4210
Sole ProprietorYes
Enumeration DateJuly 19, 2014
✔ NPI 1285041475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 63674
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.
5350 WHITE OAK AVE APT 409, Encino, CA 91316
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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 and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaghayegh Khodadadzadeh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91316 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Shaghayegh Khodadadzadeh's NPI number?

The NPI number for Shaghayegh Khodadadzadeh is 1285041475. It was assigned to this individual provider in the NPPES registry on July 19, 2014.

Where is Shaghayegh Khodadadzadeh located?

Shaghayegh Khodadadzadeh practices at 5350 White Oak Ave Apt 409, Encino, CA 91316. The listed phone number is (310) 429-4210.

What is Shaghayegh Khodadadzadeh's specialty?

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

Is Shaghayegh Khodadadzadeh enrolled in Medicare?

Yes. Shaghayegh Khodadadzadeh is registered in the Medicare PECOS enrollment system.

What insurance does Shaghayegh Khodadadzadeh accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Shaghayegh Khodadadzadeh 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 Shaghayegh Khodadadzadeh was last updated on July 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.