Shahryar Nemovi, D.D.S
Dentist in Grand Prairie, TX. Individual provider (NPI-1).
NPI number1386004232
StatusActive
Last updated in NPPESAug 31, 2026
Details
- NPI
- 1386004232
- Entity type
- Individual (NPI-1)
- Name
- Shahryar Nemovi
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2016
- Certification date
- Aug 31, 2026
- Last updated
- Aug 31, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 31886 | TX | Yes |
Practice location
2308 Bardin Rd Ste 100Grand Prairie, TX 75052-3857
Phone 972-660-8457
Mailing address
2500 McKinney Ave Apt 313Dallas, TX 75201-2197
Phone 949-395-6004
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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