NPIMap

Organization Active NPI

Shawn Rabizadeh DDS Inc.

Doing business as White Smiles Dental Group

  • Dentist
  • Canoga Park, CA
National Provider Identifier
1346303542
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHAWN RABIZADEH DDS INC.
Doing business as
White Smiles Dental Group
Practice address
21601 Vanowen St.
#100
Canoga Park, CA 91303-2752
Phone
(818) 887-0260
Fax
(818) 716-3122
NPI assigned
Dec 18, 2006
Organization subpart
Yes
Parent organization
SHAWN RABIZADEH DDS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Dr. Shawn Rabizadeh, DDSNPI 1487770558
Title
Pres
Phone
(818) 887-0260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 46324 CA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X CA Primary

Addresses

Primary practice location

21601 Vanowen St.
#100
Canoga Park, CA 91303-2752

Mailing address

21601 Vanowen St.
#100
Canoga Park, CA 91303-2752
Phone (818) 887-0260

Other names 1

  • White Smiles Dental Group Doing business as

National Provider Directory

National Provider Directory
Part of
Shawn Rabizadeh DDS Inc

Locations

21601 Vanowen St
Ste 100
Canoga Park, CA 91303
Phone (818) 824-6166

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1346303542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21601 VANOWEN ST.",
            "address_2": "#100",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032752",
            "telephone_number": "818-887-0260",
            "fax_number": "818-716-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21601 VANOWEN ST.",
            "address_2": "#100",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032752",
            "telephone_number": "818-887-0260",
            "fax_number": "818-716-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN RABIZADEH DDS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAWN RABIZADEH DDS INC.",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "RABIZADEH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "818-887-0260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46324",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Smiles Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.