DR. SHIRA FENYA SCHOLTEN DMD
NPI 1629667266
Dentist - General Practice in Los Angeles, CA

Active since January 17, 2021Opted out of Medicare · through Jan 25, 2028
1200 S BROADWAY APT 302, LOS ANGELES, CA 90015(302) 528-4340 Get Directions Write a Review

NPPES record last updated: March 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2021, Jan 17, 2021 (2 updates tracked since 2021).

About Dr. Shira Fenya Scholten Dmd NPPES

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

DR. SHIRA FENYA SCHOLTEN DMD (NPI 1629667266) is an individual general practice provider in Los Angeles, California, licensed in California (DDS106024) and active in the NPI registry since January 2021. She has opted out of Medicare through January 25, 2028.

NPPES Registry Identity

NPI1629667266
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHIRA FENYA SCHOLTENCredential: DMD
Location Address1200 S BROADWAY APT 302Los Angeles, CA 90015-4322
Mailing Address1200 S Broadway Apt 302Los Angeles, CA 90015-4322 · (302) 528-4340
Sole ProprietorYes
Enumeration DateJanuary 17, 2021
Last NPPES UpdateMarch 7, 20212 updates tracked since enumeration
NPPES CertifiedMarch 7, 2021
NPI 1629667266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in CA · DDS106024 Licensed in CA · 106024 Licensed in AZ · 10562
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.
1200 S BROADWAY APT 302, Los Angeles, CA 90015

Other Names 1

Former Name (1)Dr. Shira Fenya Butt Dmd

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Shira Fenya Scholten Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 25, 2024 through January 25, 2028.

Opt-Out Effective DateJanuary 25, 2024
Opt-Out In Effect ThroughJanuary 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Shira Scholten's NPI number?

The NPI number for Shira Scholten is 1629667266. It was assigned to this individual provider in the NPPES registry on January 17, 2021. The provider is also known as Dr. Shira Fenya Butt Dmd.

Where is Shira Scholten located?

Shira Scholten practices at 1200 S Broadway Apt 302, Los Angeles, CA 90015. The listed phone number is (302) 528-4340.

What is Shira Scholten's specialty?

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

Is Shira Scholten enrolled in Medicare?

No. Shira Scholten has opted out of Medicare through January 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shira Scholten accept?

Health plans from Delta Dental of Arizona list Shira Scholten as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shira Scholten was last updated on March 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.