Gennady Shapiro, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39335 Issued in CA

Practice address

330 N Central Ave
Glendale, CA 91203-2216

Phone

(818) 242-2990

Fax

(818) 242-3763

NPI assigned

Dec 18, 2013

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1215358205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032216",
            "telephone_number": "818-242-2990",
            "fax_number": "818-242-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032216",
            "telephone_number": "818-242-2990",
            "fax_number": "818-242-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "GENNADY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shant Kazazian MD Inc.
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• Sanjay Sharma, M.D.
• Shriya Sharma
• Vache Sharyan, PHARMD
• Andrew James Shaw, MFT

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, 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 Dec 18, 2013; 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.