Healthcare Provider Details

I. General information

NPI: 1851214423
Provider Name (Legal Business Name): SHAHRAM SALIMY DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 BISON AVE STE A2
NEWPORT BEACH CA
92660-4261
US

IV. Provider business mailing address

1220 BISON AVE STE A2
NEWPORT BEACH CA
92660-4261
US

V. Phone/Fax

Practice location:
  • Phone: 949-300-8944
  • Fax: 949-640-8882
Mailing address:
  • Phone: 949-300-8944
  • Fax: 949-640-8880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: SHAHRAM SALIMY
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 949-300-8944