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Shadi Ravon, DDS
NPI 1780772384 · Dentist · San Jose, CA
Shadi Ravon, DDS is a Dentist provider in San Jose, CA (NPI 1780772384).
Provider details
- NPI number
- 1780772384
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 47624 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
377 Santana Row Ste 1160
San Jose, CA 95128-2060
Phone: (408) 557-8048
Fax: (408) 557-9949
Street-level locationGet directions
Mailing address
104 Kathy Ct
Los Gatos, CA 95032-1607
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2022-01-13
- Certified
- 2022-01-13
Frequently asked questions
- What is Shadi Ravon's NPI number?
- Shadi Ravon's National Provider Identifier (NPI) is 1780772384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shadi Ravon's specialty?
- Shadi Ravon is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Shadi Ravon located?
- Shadi Ravon's practice location on file with NPPES is 377 Santana Row Ste 1160, San Jose, CA 95128-2060.
- What is Shadi Ravon's phone number?
- The practice phone number listed in the NPPES registry for Shadi Ravon is (408) 557-8048.
- Is Shadi Ravon's NPI active?
- Yes — Shadi Ravon's NPI (1780772384) is active in the NPPES registry as of the last update on 2022-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.