Individual provider Active NPI

Marina Alex Shnaydman, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1386703155
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43246 Issued in CA
Practice address
3535 Ross Ave Ste 207
San Jose, CA 95124-3039
Phone
(408) 269-3411
Fax
(408) 448-6443
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43246 CA Primary

Addresses

Primary practice location

3535 Ross Ave Ste 207
San Jose, CA 95124-3039

Mailing address

1718 8TH Ave
San Francisco, CA 94122-4707
Phone (415) 987-2669

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hans Dharma Panjrath Dental a Professional Corppration PastSince Mar 17, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386703155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 8TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224707",
            "telephone_number": "415-987-2669",
            "fax_number": "408-448-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 ROSS AVE STE 207",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243039",
            "telephone_number": "408-269-3411",
            "fax_number": "408-448-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHNAYDMAN",
        "first_name": "MARINA",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • 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.