Broadway Smile Boutique

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BROADWAY SMILE BOUTIQUE

Practice address

1100 E Broadway # 302
Glendale, CA 91205-1384

Phone

(818) 900-1100

NPI assigned

Apr 18, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Karo Shirinian, DDSNPI 1083228126

Title

Dentist

Phone

(818) 454-6382

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Karo Shirinian, DDS

  • Dentist
  • Pasadena, CA
  • NPI 1083228126
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1063208502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 CASTLEMAN LN",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041630",
            "telephone_number": "818-454-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY # 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051384",
            "telephone_number": "818-900-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY SMILE BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "SHIRINIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KARO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-454-6382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadway Hospice, Inc
• Broadway Imaging Medical Center
• Broadway Laser Surgical Institute, Inc.
• Broadway Manor Care Center LLC (Broadway Manor Care Center)
• Broadway Med Group, Inc (Broadway Pharmacy)
• Broadway Surgery Specialists
• Broadway Wellness Center (Serenity Sleep Centers)
• Broadway Wellness Center, Inc.
• Janette Brocklehurst, M.A., BCBA
• Brookside Anesthesia Group

• Dental Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.