DR. SHIVA IZADDOUST D.D.S.
NPI 1649317421
Dentist - General Practice in San Antonio, TX

Q: What is Shiva Izaddoust's NPI number?

The NPI number for Shiva Izaddoust is 1649317421. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Shiva Izaddoust's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shiva Izaddoust was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 31, 2007

2310 SW MILITARY DR, SUITE 406, SAN ANTONIO, TX 78224(210) 927-1400(210) 927-6330 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Shiva Izaddoust D.d.s. NPPES

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

DR. SHIVA IZADDOUST D.D.S. (NPI 1649317421) is an individual general practice provider in San Antonio, Texas, licensed in Texas (17028) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1649317421

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SHIVA IZADDOUSTCredential: D.D.S.

Location Address2310 SW MILITARY DR, SUITE 406San Antonio, TX 78224-1407

Mailing Address2310 Sw Military Dr, Suite 406San Antonio, TX 78224-1407 · (210) 927-1400 · Fax (210) 927-6330

Phone(210) 927-1400

Fax(210) 927-6330

Sole ProprietorNo

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1649317421 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 · 17028

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.

2310 SW MILITARY DR, San Antonio, TX 78224

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Other Identifiers 2

Other0064GJTX · Blue Cross Blue Shield

Other1300537TX · United Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 13

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

EUGENE O ALVARADO O.D.

Optometrist

2310 SW MILITARY DR, SUITE 501
SAN ANTONIO, TX 78224

Bexar County (210) 922-1163

DR. LINDA JEAN BRAUN O.D.

Optometrist

2310 SW MILITARY DR, 432
SAN ANTONIO, TX 78224

Bexar County (210) 922-8695

DR. BRENDA A ALVARADO O.D.

Optometrist

2310 SW MILITARY DR, STE. 501
SAN ANTONIO, TX 78224

Bexar County (210) 922-1163

SOUTH PARK FAMILY DENTAL CARE PA

Clinic/Center (Dental)

2310 SW MILITARY DR, STE 406
SAN ANTONIO, TX 78224

Bexar County (210) 927-1400

ALI BACK & BODY INC

Chiropractor

2310 SW MILITARY DR, NO. 404
SAN ANTONIO, TX 78224

Bexar County (210) 927-2095

DR. VESTA BROUMAND-MIZANI D.D.S.

Dentist (General Practice)

2310 SW MILITARY DR, SUITE #406
SAN ANTONIO, TX 78224

Bexar County (210) 927-1400

C & C HEARING CLINICS, INC.

Hearing Instrument Specialist

2310 SW MILITARY DR
SAN ANTONIO, TX 78224

Bexar County (210) 655-0500

SUHAIL DARAISEH DC

Chiropractor

2310 SW MILITARY DR, SUITE 402
SAN ANTONIO, TX 78224

Bexar County (210) 927-2095

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 Izaddoust's NPI number?

The NPI number for Shiva Izaddoust is 1649317421. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Shiva Izaddoust located?

Shiva Izaddoust practices at 2310 SW Military Dr Suite 406, San Antonio, TX 78224. The listed phone number is (210) 927-1400.

What is Shiva Izaddoust's specialty?

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

What insurance does Shiva Izaddoust accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 21 other insurers list Shiva Izaddoust 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 Shiva Izaddoust was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.