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SHABNAM SEYEDZADEH SABOUNCHI
NPI 1306622543
Dentist - Orofacial Pain in Philadelphia, PA

Active since September 05, 2023PECOS Enrolled
3223 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-2871 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shabnam Seyedzadeh Sabounchi NPPES

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

SHABNAM SEYEDZADEH SABOUNCHI (NPI 1306622543) is an individual orofacial pain provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (RFD000064) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306622543
Entity TypeIndividualFemale
Primary Taxonomy1223X2210X
Provider Legal NameSHABNAM SEYEDZADEH SABOUNCHI
Location Address3223 N BROAD STPhiladelphia, PA 19140-5007
Mailing Address3223 N Broad StPhiladelphia, PA 19140-5007 · (215) 707-2871
Phone(215) 707-2871
Sole ProprietorNo
Enumeration DateSeptember 5, 2023
NPPES CertifiedSeptember 5, 2023
✔ NPI 1306622543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License✔ Licensed in PA · RFD000064
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 0401418630 (VA)
3223 N BROAD ST, Philadelphia, PA 19140
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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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shabnam Seyedzadeh Sabounchi 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 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

JOHN PAUL FRIEL JR. DDS
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-0115
LEONA SPERRAZZA DDS
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2995
DR. MARK WILLIAM ELICE DMD
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2890
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Anesthesiology
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2900
JIN XIA JIANG DMD
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2931
DR. ARMIN MEHDIZADEH-SHRIFI DDS
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (210) 552-2199
DR. BERNARD FEINSTEIN DDS
Dentist (Oral and Maxillofacial Surgery)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-8310
DR. LOUISE MARIE SKARULIS D.M.D.
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3593

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 Shabnam Seyedzadeh Sabounchi's NPI number?

The NPI number for Shabnam Seyedzadeh Sabounchi is 1306622543. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Where is Shabnam Seyedzadeh Sabounchi located?

Shabnam Seyedzadeh Sabounchi practices at 3223 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-2871.

What is Shabnam Seyedzadeh Sabounchi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Shabnam Seyedzadeh Sabounchi enrolled in Medicare?

Yes. Shabnam Seyedzadeh Sabounchi is registered in the Medicare PECOS enrollment system.

What insurance does Shabnam Seyedzadeh Sabounchi 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 6 other insurers list Shabnam Seyedzadeh Sabounchi 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 Shabnam Seyedzadeh Sabounchi was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.