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DR. SIAVASH SHADDEL- DDS
NPI 1396722385
Dentist - General Practice in Arlington, TX

Active since December 29, 2005PECOS Enrolled
101 E RANDOL MILL RD, SUITE 107, ARLINGTON, TX 76011(817) 277-8847(817) 277-9550 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Siavash Shaddel- Dds NPPES

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

DR. SIAVASH SHADDEL- DDS (NPI 1396722385) is an individual general practice provider in Arlington, Texas, licensed in Texas (17641) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396722385
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SIAVASH SHADDEL-Credential: DDS
Location Address101 E RANDOL MILL RD, SUITE 107Arlington, TX 76011-4610
Mailing Address101 E Randol Mill Rd, Suite 107Arlington, TX 76011-4610 · (817) 277-8847 · Fax (817) 277-9550
Phone(817) 277-8847
Fax(817) 277-9550
Sole ProprietorNo
Enumeration DateDecember 29, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396722385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 17641
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.

101 E RANDOL MILL RD, Arlington, TX 76011
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Siavash Shaddel- Dds 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 76011 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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

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

ARLINGTON FAMILY DENTAL CENTRE, PA
Dentist (General Practice)
101 E RANDOL MILL RD, SUITE 107
ARLINGTON, TX 76011
Tarrant County (817) 277-8847

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 Siavash Shaddel-'s NPI number?

The NPI number for Siavash Shaddel- is 1396722385. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Siavash Shaddel- located?

Siavash Shaddel- practices at 101 E Randol Mill Rd Suite 107, Arlington, TX 76011. The listed phone number is (817) 277-8847.

What is Siavash Shaddel-'s specialty?

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

Is Siavash Shaddel- enrolled in Medicare?

Yes. Siavash Shaddel- is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Siavash Shaddel- was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.