SHADI KAMYAB-KHORASANI
NPI 1811582273
Dentist in Duarte, CA

Q: What is Shadi Kamyab-khorasani's NPI number?

The NPI number for Shadi Kamyab-khorasani is 1811582273. It was assigned to this individual provider in the NPPES registry on March 7, 2021.

Q: What is Shadi Kamyab-khorasani's specialty?

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

Active since March 07, 2021

225 WESTVALE RD, DUARTE, CA 91010(310) 408-9596 Get Directions Write a Review

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

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About Shadi Kamyab-khorasani NPPES

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

SHADI KAMYAB-KHORASANI (NPI 1811582273) is an individual dentist in Duarte, California, licensed in California (DDS42557) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1811582273

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSHADI KAMYAB-KHORASANI

Location Address225 WESTVALE RDDuarte, CA 91010-1304

Mailing Address225 Westvale RdDuarte, CA 91010-1304 · (310) 408-9596

Phone(310) 408-9596

Sole ProprietorYes

Enumeration DateMarch 7, 2021

NPPES CertifiedMarch 7, 2021

✔ NPI 1811582273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · DDS42557

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.

225 WESTVALE RD, Duarte, CA 91010

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Other Identifiers 1

OtherDDS42557CA · Dental Board Of California

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 Kamyab-khorasani's NPI number?

The NPI number for Shadi Kamyab-khorasani is 1811582273. It was assigned to this individual provider in the NPPES registry on March 7, 2021.

Where is Shadi Kamyab-khorasani located?

Shadi Kamyab-khorasani practices at 225 Westvale Rd, Duarte, CA 91010. The listed phone number is (310) 408-9596.

What is Shadi Kamyab-khorasani'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 Shadi Kamyab-khorasani 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.