Organization Active NPI

Shabnam Melamed, DDS, PC

  • Dentist
  • Reseda, CA
National Provider Identifier
1285951988
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57752 Issued in CA
Legal business name
SHABNAM MELAMED, DDS, PC
Practice address
6458 Rhea Ave
Reseda, CA 91335-6024
Phone
(818) 645-4313
NPI assigned
Apr 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Dr. Shabnam Melamed, DDS
Title
Ceo
Phone
(818) 645-4313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 57752 CA Primary

Addresses

Primary practice location

6458 Rhea Ave
Reseda, CA 91335-6024

Mailing address

6458 Rhea Ave # 133
Reseda, CA 91335-6024
Phone (818) 645-4313

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1285951988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6458 RHEA AVE # 133",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356024",
            "telephone_number": "818-645-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6458 RHEA AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356024",
            "telephone_number": "818-645-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHABNAM MELAMED, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "MELAMED",
        "authorized_official_first_name": "SHABNAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-645-4313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.