Dr. Shagramanova Dental Group, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. SHAGRAMANOVA DENTAL GROUP, INC

Practice address

3175 Firestone Blvd
South Gate, CA 90280-2951

Phone

(323) 484-1020

NPI assigned

Jan 9, 2019

Last updated

Jan 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Natalya Shagramanova, DDS

Title

Ceo/Dentist

Phone

(818) 653-7778

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kasun Rajapksha, DMD

  • Pediatric Dentistry
  • South Gate, CA
  • NPI 1376919068
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1265905434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 FIRESTONE BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802951",
            "telephone_number": "323-484-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 FIRESTONE BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802951",
            "telephone_number": "323-484-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHAGRAMANOVA DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "SHAGRAMANOVA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "818-653-7778",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER NUMBER",
            "identifier": "1023051646",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Diaz
• Discovering Independence
• Doctors and Surgeons of Los Angeles
• Yasmin Dominguez
• Bianca Donlucas, COTA
• Matthew Duncan
• Alexander Duong
• Quoc Duong
• Efrain Duran
• Kevin Duran, SUDRC

• Dental Clinic/Center in South Gate, CA
• Providers in South Gate, CA by specialty
• Dental Clinic/Center 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.