NPIMap

Organization Active NPI

Sahawaneh Dental Corporaton

Doing business as Riley Dental Group

  • Dentist
  • San Fernando, CA
National Provider Identifier
1114889318
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SAHAWANEH DENTAL CORPORATON
Doing business as
Riley Dental Group
Practice address
400 N Maclay Ave
San Fernando, CA 91340-2417
Phone
(818) 361-4084
NPI assigned
Nov 26, 2025
Last updated
Nov 26, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SAHAWANEH DENTAL CORPORATONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Shorouq Sameer Sahawneh
Title
Owner
Phone
(714) 578-6358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

400 N Maclay Ave
San Fernando, CA 91340-2417

Mailing address

8415 Datapoint Dr Ste 1020
San Antonio, TX 78229-3277
Phone (818) 361-4084

Other names 1

  • Riley Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fratt Dental Corporation132 organizations share this tax ID, including this one
Part of
Fratt Dental Corporation

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

400 N Maclay Ave
San Fernando, CA 91340
Phone (818) 361-4084

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1114889318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 DATAPOINT DR STE 1020",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293277",
            "telephone_number": "818-361-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MACLAY AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402417",
            "telephone_number": "818-361-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHAWANEH DENTAL CORPORATON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAHAWANEH DENTAL CORPORATON",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "SAHAWNEH",
        "authorized_official_first_name": "SHOROUQ",
        "authorized_official_middle_name": "SAMEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-578-6358"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riley Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.