Healthcare Provider Details

I. General information

NPI: 1437006152
Provider Name (Legal Business Name): SHEILA NIKDEL DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 VON KARMAN AVE STE 375
NEWPORT BEACH CA
92660-2088
US

IV. Provider business mailing address

4440 VON KARMAN AVE STE 375
NEWPORT BEACH CA
92660-2088
US

V. Phone/Fax

Practice location:
  • Phone: 949-674-5988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHEILA NIKDEL
Title or Position: PRESIDENT
Credential: DDS
Phone: 714-604-9142