Active NPI
Tom V Shanakian, DDS
- Dentist
- Sherman Oaks, CA
National Provider Identifier
1346339173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52113
- Practice address
- 5151 Hazeltine Ave
Sherman Oaks, CA 91423-1116 - Phone
- (818) 788-2023
- Fax
- (818) 788-1830
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 52113 | CA | Primary |
Addresses
Primary practice location
5151 Hazeltine Ave
Sherman Oaks, CA 91423-1116
Mailing address
9249 Canter LN
Sun Valley, CA 91352-3733
Phone (818) 314-4246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52113 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Care Dental Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Sherman Oaks, CA
- NPI 1902251127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1346339173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9249 CANTER LN",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913523733",
"telephone_number": "818-314-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 HAZELTINE AVE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914231116",
"telephone_number": "818-788-2023",
"fax_number": "818-788-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANAKIAN",
"first_name": "TOM",
"middle_name": "V",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.