Organization Active NPI

Office of Shahgaldian Dental Corp

  • Dentist
  • Montclair, CA
National Provider Identifier
1285215996
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OFFICE OF SHAHGALDIAN DENTAL CORP
Practice address
5275 Holt Blvd.
Suite E
Montclair, CA 91763-9120
Phone
(818) 523-7626
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Christine Shahgaldian
Title
Dentist/ Owner
Phone
(818) 523-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5275 Holt Blvd.
Suite E
Montclair, CA 91763-9120

Mailing address

5275 Holt Blvd
Suite E
Montclair, CA 91763
Phone (818) 523-7626

National Provider Directory

National Provider Directory

Locations

5275 Holt Blvd
Ste E
Montclair, CA 91763
Phone (909) 616-5050

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1285215996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 HOLT BLVD",
            "address_2": "SUITE E",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "91763",
            "telephone_number": "818-523-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 HOLT BLVD.",
            "address_2": "SUITE E",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917639120",
            "telephone_number": "818-523-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE OF SHAHGALDIAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "SHAHGALDIAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "818-523-7626"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.