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MRS. AVA KHATIBSHAHIDI
NPI 1619656998
Dentist - General Practice in Buffalo, NY

Active since July 14, 2023
462 GRIDER ST, BUFFALO, NY 14215(716) 898-1736 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2025, Jun 28, 2024, May 1, 2024 and 1 more (4 updates tracked since 2023).

About Mrs. Ava Khatibshahidi NPPES

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

MRS. AVA KHATIBSHAHIDI (NPI 1619656998) is an individual general practice provider in Buffalo, New York, licensed in New York (064679) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1619656998
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMRS. AVA KHATIBSHAHIDI
Location Address462 GRIDER STBuffalo, NY 14215-3021
Mailing Address18 Kenaston Gdns, Unit 1304North York, ONTARIO M2K3C7
Phone(716) 898-1736
Sole ProprietorNo
Enumeration DateJuly 14, 2023
Last NPPES UpdateJuly 22, 20254 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1619656998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 064679
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.
462 GRIDER ST, Buffalo, NY 14215
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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.

MR. V. THOMAS CHAPIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
DR. JOHN JACOB HANNIBAL IV M.D.
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-4226
HMB PHARMACY MANAGEMENT LLC
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Erie County (716) 332-2866
SARAH MARIE THOMPSON PA-C
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 698-5375
MATTHEW GARRETT ALBEN DO
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-5053
DANNY ISSAM BELMONA MD
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
ALEXANDRA VAZQUEZ AGACNP
Nurse Practitioner (Acute Care)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
MR. KENNETH L DZIALAK COTA
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3575

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 Ava Khatibshahidi's NPI number?

The NPI number for Ava Khatibshahidi is 1619656998. It was assigned to this individual provider in the NPPES registry on July 14, 2023.

Where is Ava Khatibshahidi located?

Ava Khatibshahidi practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-1736.

What is Ava Khatibshahidi's specialty?

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

When was this NPI record last updated?

The NPPES record for Ava Khatibshahidi was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.