NPIMap

Organization Active NPI

G Shapiro DDS Inc

  • Dentist
  • Glendale, CA
National Provider Identifier
1285729897
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39335 Issued in CA
Legal business name
G SHAPIRO DDS INC
Practice address
330 N Central Avenue
Glendale, CA 91203
Phone
(818) 242-2990
Fax
(818) 242-3763
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Gennady Shapiro, DDS
Title
President
Phone
(818) 242-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 39335 CA Primary

Addresses

Primary practice location

330 N Central Avenue
Glendale, CA 91203

Mailing address

330 N Central Avenue
Glendale, CA 91203
Phone (818) 242-2990

Other names 1

  • Shapiro Cosmetic Dentistry Other name

National Provider Directory

National Provider Directory

Locations

330 N Central Ave
Glendale, CA 91203
Phone (818) 242-2990

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1285729897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N CENTRAL AVENUE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-242-2990",
            "fax_number": "818-242-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N CENTRAL AVENUE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-242-2990",
            "fax_number": "818-242-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G SHAPIRO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "GENNADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-242-2990",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shapiro Cosmetic Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.