SHADI SHAMSHIRGARAN
NPI 1356040679
Dentist in San Rafael, CA

Q: What is Shadi Shamshirgaran's NPI number?

The NPI number for Shadi Shamshirgaran is 1356040679. It was assigned to this individual provider in the NPPES registry on February 24, 2023.

Q: What is Shadi Shamshirgaran's specialty?

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

Active since February 24, 2023

361 3RD ST STE H, SAN RAFAEL, CA 94901(415) 456-3276(415) 785-7567 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shadi Shamshirgaran NPPES

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

SHADI SHAMSHIRGARAN (NPI 1356040679) is an individual dentist in San Rafael, California, licensed in California (106057) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1356040679

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSHADI SHAMSHIRGARAN

Location Address361 3RD ST STE HSan Rafael, CA 94901-3580

Mailing Address361 3rd St Ste HSan Rafael, CA 94901-3580 · (415) 456-3276 · Fax (415) 785-7567

Phone(415) 456-3276

Fax(415) 785-7567

Sole ProprietorNo

Enumeration DateFebruary 24, 2023

NPPES CertifiedFebruary 24, 2023

✔ NPI 1356040679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 106057

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.

361 3RD ST STE H, San Rafael, CA 94901

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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.

EMMA ABRAMYAN DDS

Dentist (General Practice)

361 3RD ST STE H
SAN RAFAEL, CA 94901

Marin County (415) 456-3273

SAMIRA JABERI DMD

Dentist (General Practice)

361 3RD ST STE H
SAN RAFAEL, CA 94901

Marin County (415) 456-3273

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 Shamshirgaran's NPI number?

The NPI number for Shadi Shamshirgaran is 1356040679. It was assigned to this individual provider in the NPPES registry on February 24, 2023.

Where is Shadi Shamshirgaran located?

Shadi Shamshirgaran practices at 361 3rd St Ste H, San Rafael, CA 94901. The listed phone number is (415) 456-3276.

What is Shadi Shamshirgaran'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 Shamshirgaran was last updated on February 24, 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.