Individual provider Active NPI

Shiva Kashanian, DDS

  • General Practice Dentistry
  • North Hills, CA
National Provider Identifier
1205085875
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48423 Issued in CA
Practice address
15350 Nordhoff Street
Suite a
North Hills, CA 91343
Phone
(818) 672-8228
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 48423 CA Primary

Addresses

Primary practice location

15350 Nordhoff Street
Suite a
North Hills, CA 91343

Mailing address

630 Masselin Ave
421
Los Angeles, CA 90036-5757
Phone (323) 939-0252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48423CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Westcoastdental Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1205085875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MASSELIN AVE",
            "address_2": "421",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365757",
            "telephone_number": "323-939-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 NORDHOFF STREET",
            "address_2": "SUITE A",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "91343",
            "telephone_number": "818-672-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHANIAN",
        "first_name": "SHIVA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.