SHINE ON DENTAL GROUP
NPI 1619349511
Dentist in San Ramon, CA

Q: What is Shiva Mohtasham Dds, Inc's NPI number?

The NPI number for Shiva Mohtasham Dds, Inc is 1619349511. It was assigned to this organization in the NPPES registry on October 30, 2015. The provider is doing business as Shine On Dental Group.

Q: What is Shiva Mohtasham Dds, Inc's specialty?

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

Active since October 30, 2015

1501 BOLLINGER CANYON RD STE F, SAN RAMON, CA 94583(510) 857-7544(925) 208-1852 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Shine On Dental Group NPPES

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

SHINE ON DENTAL GROUP (NPI 1619349511) is a healthcare organization registered as a dentist in San Ramon, California and active in the NPI registry since October 2015. The organization lists Shiva Mohtasham, Owner, as its authorized official.

NPPES Registry Identity

NPI1619349511

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSHIVA MOHTASHAM DDS, INC

Location Address1501 BOLLINGER CANYON RD STE FSan Ramon, CA 94583-1758

Mailing Address2887 Fieldview TerSan Ramon, CA 94583-1900 · (510) 857-7544 · Fax (925) 208-1852

Phone(510) 857-7544

Fax(925) 208-1852

Organization SubpartNo

Authorized OfficialShiva MohtashamOwner · (510) 857-7544

Enumeration DateOctober 30, 2015

✔ NPI 1619349511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 51976

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.

1501 BOLLINGER CANYON RD STE F, San Ramon, CA 94583

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Other Names 1

Doing Business AsShine On Dental Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Shiva Mohtasham Dds, Inc's NPI number?

The NPI number for Shiva Mohtasham Dds, Inc is 1619349511. It was assigned to this organization in the NPPES registry on October 30, 2015. The provider is doing business as Shine On Dental Group.

Where is Shiva Mohtasham Dds, Inc located?

Shiva Mohtasham Dds, Inc is located at 1501 Bollinger Canyon Rd Ste F, San Ramon, CA 94583. The listed phone number is (510) 857-7544.

What is Shiva Mohtasham Dds, Inc'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 Shiva Mohtasham Dds, Inc was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.