Krasnodara Naneva Gashparova, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53452 Issued in CA

Practice address

70 S Palm Ave
Alhambra, CA 91801-3101

Phone

(626) 289-6131

Fax

(626) 289-0408

NPI assigned

Feb 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dara Gashparova Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1235317033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 THELMA ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142662",
            "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": "70 S PALM AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013101",
            "telephone_number": "626-289-6131",
            "fax_number": "626-289-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASHPAROVA",
        "first_name": "KRASNODARA",
        "middle_name": "NANEVA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D53452",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARA",
            "last_name": "GASHPAROVA",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Garfield Comprehensive Care Medical Corp
• Garfield Health Center Medical Group, Inc.
• Daniel Heriberto Garza, M.D.
• Jessica Gaucin
• Kimberly Gaucin, MS, LMFT
• Filimon Gebremichael
• Stella Win Gee
• Ashley Violet Genera, PA-S2

• General Practice Dentistry in Alhambra, CA
• Providers in Alhambra, 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 Jan 9, 2019; 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.