Grant Shandler, DDS, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GRANT SHANDLER, DDS, INC.

Practice address

1111 Pacific Coast Hwy Ste 21
Harbor City, CA 90710-3544

Phone

(323) 688-6965

NPI assigned

May 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Grant Shandler, DDSNPI 1356831325

Title

President

Phone

(323) 688-6965

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Grant Shandler, D.D.S.

  • Pediatric Dentistry
  • San Pedro, CA
  • NPI 1356831325
  NPD Authorized official

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

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1275271173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28625 S WESTERN AVE # 183",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PACIFIC COAST HWY STE 21",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103544",
            "telephone_number": "323-688-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT SHANDLER, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-22",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "SHANDLER",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-688-6965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia S. Gonzales, NP
• Angelina Gonzalez, CCC-SLP
• Blanca Estela Gonzalez, LCSW
• Elaine Dizon Gonzalez, P.T.
• Evangelina Gonzalez, M.D.
• David A. Green, MD
• Jennifer J Green, PT
• Parker W Greene, PA
• Karen Eatman Grieff, LCSW
• Bich-Thuy Groner

• Pediatric Dentistry in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.