SHADI MOHEBI
NPI 1457199689
Dentist - Orthodontics and Dentofacial Orthopedics in Champaign, IL

Active since July 20, 2024
1715 BROADMOOR DR STE A, CHAMPAIGN, IL 61821(217) 886-8217 Get Directions Write a Review

NPPES record last updated: July 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shadi Mohebi NPPES

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

SHADI MOHEBI (NPI 1457199689) is an individual orthodontics and dentofacial orthopedics provider in Champaign, Illinois, licensed in Massachusetts (DL15906) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1457199689
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameSHADI MOHEBI
Location Address1715 BROADMOOR DR STE AChampaign, IL 61821-5984
Mailing Address4008 Turnberry DrChampaign, IL 61822-8512 · (216) 835-6067
Sole ProprietorNo
Enumeration DateJuly 20, 2024
NPPES CertifiedJuly 20, 2024
NPI 1457199689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MA · DL15906
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1715 BROADMOOR DR STE A, Champaign, IL 61821

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.

Dentist (Orthodontics and Dentofacial Orthopedics)
1715 BROADMOOR DR STE A
CHAMPAIGN, IL 61821
Dentist (Orthodontics and Dentofacial Orthopedics)
1715 BROADMOOR DR STE A
CHAMPAIGN, IL 61821

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 Mohebi's NPI number?

The NPI number for Shadi Mohebi is 1457199689. It was assigned to this individual provider in the NPPES registry on July 20, 2024.

Where is Shadi Mohebi located?

Shadi Mohebi practices at 1715 Broadmoor Dr Ste A, Champaign, IL 61821. The listed phone number is (217) 886-8217.

What is Shadi Mohebi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Shadi Mohebi was last updated on July 20, 2024. 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.