Nicole Mahanian

Primary specialty

DentistTaxonomy code 122300000X

License

100589 Issued in CA

Practice address

2005 Evergreen St
Suite 1550
Sacramento, CA 95815-3892

Phone

(310) 486-4772

NPI assigned

Aug 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nicole Mahanian, D.D.S., Inc.

  • Dental Clinic/Center
  • San Fernando, CA
  • NPI 1063025815
  NPD Authorized official

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1104370972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 EVERGREEN ST",
            "address_2": "SUITE 1550",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 EVERGREEN ST",
            "address_2": "SUITE 1550",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153892",
            "telephone_number": "310-486-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHANIAN",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayatri Mahajan, M.D.
• Jaskirat Mahal, DO
• Narinderjit Singh Mahal, D.D.S
• Kevin Leslie Mahan
• Nancy Bell Mahaney, PH.D.
• Aliya Michelle Maharaj
• Karishma Devika Lal Maharaj
• Omrita Prasad Maharaj
• Sheena Maharaj, M.D.
• Sheena Maharaj

• Dentist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.