Organization Active NPI

Krasnodara Gashparova, DDS, Inc

  • Dental Clinic/Center
  • Alhambra, CA
National Provider Identifier
1184882391
Registry record updated May 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
53452 Issued in CA
Legal business name
KRASNODARA GASHPAROVA, DDS, INC
Practice address
1933 W Valley Blvd
Alhambra, CA 91803-2346
Phone
(626) 289-6131
Fax
(626) 289-0408
NPI assigned
May 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2008

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

Authorized official

Name
Krasnodara N Gashparova, DDS
Title
President
Phone
(818) 572-6375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 53452 CA Primary

Addresses

Primary practice location

1933 W Valley Blvd
Alhambra, CA 91803-2346

Mailing address

1933 W Valley Blvd
Alhambra, CA 91803-2346
Phone (626) 289-6131

Other identifiers 2

IdentifierTypeStateIssuer
1223G0001XOtherCATAXONOMY
1235317033OtherCANPI TYPE 1

National Provider Directory

National Provider Directory

Locations

1933 W Valley Blvd
Alhambra, CA 91803
Phone (626) 284-5100

NPI Registry JSON

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211760000000",
    "number": "1184882391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 W VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032346",
            "telephone_number": "626-289-6131",
            "fax_number": "626-289-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 W VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032346",
            "telephone_number": "626-289-6131",
            "fax_number": "626-289-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRASNODARA GASHPAROVA, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-26",
        "last_updated": "2008-05-26",
        "status": "A",
        "authorized_official_last_name": "GASHPAROVA",
        "authorized_official_first_name": "KRASNODARA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-572-6375",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "1223G0001X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1235317033",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2008; 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.