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Active NPI 1154886398 Individual Practitioner Male Practitioner

Dr. Shwan Raouf Mohammed , DDS

Dentist - General Practice • Madera, CA

Professional Overview & Biography Verified Profile Summary

Dr. Shwan Mohammed, DDS is a registered healthcare professional specializing in Dentist - General Practice in Madera, CA. Practice services are available at 1100 N GATEWAY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 N Gateway Dr

Madera, CA 936379600

Telephone 5593634610
Associated Practice Facility / Clinic
🏢 Western Dental Services, Inc. Facility NPI 1235285586

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Madera, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
35 Specialists

Practicing in Madera, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 103494

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
103494 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Jun Sik Kim , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1114433703

Doctor of Dental Surgery

Dr. Kenneth Smith , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1144754227

Doctor of Dental Surgery

NPI 1215004833

Doctor of Dental Surgery

Ashraf Hasasneh

Dentist - General Practice

NPI 1215415047
A M Sohal Mahamud

Dentist - General Practice

NPI 1396514519
NPI 1689741613

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address February 10, 2025

Registered at 15555 MAIN ST STE C3, HESPERIA, CA 923453423 (Tel: 6194577008)

NPI Profile Active February 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2019

Registered at 1100 N GATEWAY DR, MADERA, CA 936379600 (Tel: 5593634610)

📍
Updated Business Mailing Address February 01, 2019

Registered at 11408 VIA RANCHO SAN DIEGO UNIT 31, EL CAJON, CA 920195226 (Tel: 6194577008)

👤
Provider Name / Credentials Updated February 01, 2019

Recorded as SHWAN MOHAMMED, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2019

Dentist (License #103494 in CA)

🟢
Initial NPI Registration & Enumeration February 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154886398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2019
Last Update: February 10, 2025
Sole Proprietor: No

Mailing Address

15555 Main St Ste C3

Hesperia, CA 923453423

Phone: 6194577008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.