Shvartsman Shimada Dental Partnership

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHVARTSMAN SHIMADA DENTAL PARTNERSHIP

Doing business as

South Redondo Dental Group

Practice address

1711 Via El Prado Ste 400
Redondo Beach, CA 90277-5714

Phone

(310) 792-8610

NPI assigned

Jul 30, 2021

Last updated

Jul 30, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SHVARTSMAN SHIMADA DENTAL PARTNERSHIPAs reported in NPPES

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

Authorized official

Name

Dr. Kelly A Shimada, DDSNPI 1184075111

Title

Partner

Phone

(310) 792-8610

Specialties & licenses 3

Addresses

Other names 1

• South Redondo Dental Group Doing business as

Part of

Shvartsman Shimada Dental Partnership

Locations

Practitioners 2

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.

• Kelly Alexandra Shimada, D.D.S.

  • Prosthodontics
  • Los Angeles, CA
  • NPI 1184075111
  NPD Authorized official
• Gloria Luong, DMD, MS

  • General Practice Dentistry
  • Torrance, CA
  • NPI 1518691831
  NPD

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1144993502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 VIA EL PRADO STE 400",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775714",
            "telephone_number": "310-792-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 VIA EL PRADO STE 400",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775714",
            "telephone_number": "310-792-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHVARTSMAN SHIMADA DENTAL PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHVARTSMAN SHIMADA DENTAL PARTNERSHIP",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "SHIMADA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-792-8610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Redondo Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eneda Shengjergji
• Sheth Podiatry Corporation
• Yvonne Shih, FNP-BC
• Shoreline Telept Physical Therapy
• Jennifer Rebecca Shulman, L.AC.
• Gregory Igor Shvartsman, D.D.S.
• Bridget Sibley, MACCC-SLP
• Mandeep Sidhu
• Swati Sikaria, M.D.
• Homa Sajadian Sikon, L.AC., DIPL. OM

• General Practice Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.