Active NPI
Natalya Shagramanova
- General Practice Dentistry
- Glendale, CA
National Provider Identifier
1023051646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 54204
- Practice address
- 1545 N Verdugo Rd
Suite 112
Glendale, CA 91208-2862 - Phone
- (818) 662-5104
- Fax
- (818) 662-5063
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | |||
| General Practice Dentistry | 1223G0001X | 54204 | CA | Primary |
Addresses
Primary practice location
1545 N Verdugo Rd
Suite 112
Glendale, CA 91208-2862
Mailing address
1545 N Verdugo Rd
Suite 112
Glendale, CA 91208-2862
Phone (818) 662-5104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natalya Shagramanova DDS, Inc | Current | Accepting new patients | |
| Natalya Shagramanova D.D.S. Inc. | General Practice | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Los Angeles, CA
- NPI 1720457500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1023051646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 N VERDUGO RD",
"address_2": "SUITE 112",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082862",
"telephone_number": "818-662-5104",
"fax_number": "818-662-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 N VERDUGO RD",
"address_2": "SUITE 112",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082862",
"telephone_number": "818-662-5104",
"fax_number": "818-662-5063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAGRAMANOVA",
"first_name": "NATALYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "54204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.