NPIMap

Organization Active NPI

S J Shahangian DDS Ms Inc

Doing business as Scripps Pediatric Dentistry

  • Pediatric Dentistry
  • Alpine, CA
National Provider Identifier
1235750811
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
S J SHAHANGIAN DDS MS INC
Doing business as
Scripps Pediatric Dentistry
Practice address
1620 Alpine Blvd Ste 212
Alpine, CA 91901-1105
Phone
(619) 445-8881
NPI assigned
May 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Jossein ShahangianNPI 1639379142
Title
Owner
Phone
(619) 445-8881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

1620 Alpine Blvd Ste 212
Alpine, CA 91901-1105

Mailing address

9840 Hibert St Ste B4
San Diego, CA 92131-1071
Phone (858) 693-5677

Other names 1

  • Scripps Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
S J Shahangian DDS Ms Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1235750811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 HIBERT ST STE B4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311071",
            "telephone_number": "858-693-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ALPINE BLVD STE 212",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919011105",
            "telephone_number": "619-445-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S J SHAHANGIAN DDS MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "SHAHANGIAN",
        "authorized_official_first_name": "JOSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-445-8881"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scripps Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.