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SHADI RAVON DDS
NPI 1780772384
Dentist in San Jose, CA

Active since October 10, 2006
377 SANTANA ROW STE 1160, SAN JOSE, CA 95128(408) 557-8048(408) 557-9949 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shadi Ravon Dds NPPES

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

SHADI RAVON DDS (NPI 1780772384) is an individual dentist in San Jose, California, licensed in California (47624) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1780772384
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSHADI RAVONCredential: DDS
Location Address377 SANTANA ROW STE 1160San Jose, CA 95128-2060
Mailing Address104 Kathy CtLos Gatos, CA 95032-1607 · (408) 685-3352
Phone(408) 557-8048
Fax(408) 557-9949
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
✔ NPI 1780772384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 47624
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.
377 SANTANA ROW STE 1160, San Jose, CA 95128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

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 Ravon's NPI number?

The NPI number for Shadi Ravon is 1780772384. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Shadi Ravon located?

Shadi Ravon practices at 377 Santana Row Ste 1160, San Jose, CA 95128. The listed phone number is (408) 557-8048.

What is Shadi Ravon's specialty?

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

What insurance does Shadi Ravon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Shadi Ravon 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 Shadi Ravon was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.