Katayoon Shafagh, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

39706 Issued in TX

Practice address

12932 Victory Blvd
North Hollywood, CA 91606-2924

Phone

(818) 761-9000

Fax

(818) 761-6067

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 1St Choice Dental Inc

  • Dentist
  • North Hollywood, CA
  • NPI 1699132704
  NPD (past) Authorized official
• Dadaian Dental Corporation

  • General Practice Dentistry
  • North Hollywood, CA
  • NPI 1649151010
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346455896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12932 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062924",
            "telephone_number": "818-761-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12932 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062924",
            "telephone_number": "818-761-9000",
            "fax_number": "818-761-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFAGH",
        "first_name": "KATAYOON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "39706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary John Sewalk
• SFM Medical Group Inc
• SG Care Inc.
• Betty Shaby, NP
• Nesyah Shaesteh
• Shahab Mahboubian, DO, Inc.
• Shahangian Dental Corp. (Desert Dental)
• Bahram Shahangian, D.D.S.
• Bita Shahangian, D.D.S.
• Davit Shahbazyan

• Orthodontics and Dentofacial Orthopedics Dentistry in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.