Provider Type Icon

SHAYNA RONDON DDS NPI 1669736690


NPI Information

NPI: 1669736690
Provider Name: SHAYNA RONDON, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
1171 MURRIETA BLVD
LIVERMORE, CA
ZIP 94550
Phone: (925) 449-6633
Get Directions

Shayna Rondon, DDS is an oral and maxillofacial surgery dentist in Livermore, CA with 12 years of experience. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Shayna Rondon, DDS NPI is 1669736690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Graduation Year:2012

The provider's business location address is:

1171 MURRIETA BLVD
LIVERMORE, CA
ZIP 94550-143
Phone: (925) 449-6633
Fax: (925) 449-0766

The NPI 1669736690 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/25/2012 and was last updated on 6/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics59292CALIFORNIANo
21223S0112XDentistOral and Maxillofacial SurgeryDDS59292CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.