Organization Active NPI

I. Shahinyan D.D.S, Incorporated

  • Preferred Provider Organization
  • Canyon Country, CA
National Provider Identifier
1245567734
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
53730 Issued in CA
Legal business name
I. SHAHINYAN D.D.S, INCORPORATED
Practice address
18520 Soledad Canyon Rd Ste G
Canyon Country, CA 91351-3731
Phone
(661) 252-2800
Fax
(661) 252-2810
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Dr. Irina Shahinyan, D.D.S.NPI 1336268531
Title
President
Phone
(661) 252-2800

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 53730 CA
Preferred Provider Organization 305R00000X 53730 CA Primary

Addresses

Primary practice location

18520 Soledad Canyon Rd Ste G
Canyon Country, CA 91351-3731

Mailing address

18520 Soledad Canyon Rd Ste G
Canyon Country, CA 91351-3731
Phone (661) 252-2800

Other names 1

  • Smiles Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

18520 Soledad Canyon Rd
Ste G
Canyon Country, CA 91351
Phone (661) 252-2800

Practitioners & affiliated clinicians

Practitioners 1

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": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1245567734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18520 SOLEDAD CANYON RD STE G",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513731",
            "telephone_number": "661-252-2800",
            "fax_number": "661-252-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18520 SOLEDAD CANYON RD STE G",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513731",
            "telephone_number": "661-252-2800",
            "fax_number": "661-252-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. SHAHINYAN D.D.S, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "SHAHINYAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-252-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53730",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "53730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.