Grant Shandler, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS103449 Issued in CA

Practice address

1322 W Park Western Dr Unit 216
San Pedro, CA 90732-5014

Phone

(323) 688-6965

NPI assigned

May 15, 2018

Sex

Male

Sole proprietor

No

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

Locations

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.

• Grant Shandler, DDS, Inc.

  • Pediatric Dentistry
  • Harbor City, CA
  • NPI 1275271173
  NPD Authorized official

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1356831325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PACIFIC COAST HWY STE 21",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103544",
            "telephone_number": "323-688-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 W PARK WESTERN DR UNIT 216",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907325014",
            "telephone_number": "323-688-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDLER",
        "first_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS103449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaffer Psychological Institute
• Stuart M Shaffer, PH.D.
• Krupa Shah, M.D.
• Mona S Shah, MD
• Shamrock Healthcare Services
• Leilani M. Sharpe, M.D., PH.D.
• Dianne Shaw
• Miles R Shaw, M.D.
• Sheila Sanning Shea, N.P.
• Steven Hanna Sheety, M.D.

• Pediatric Dentistry in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.