Zhanna Shapavalava, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105879 Issued in CA

Practice address

2240 Park Newport Apt 310
Newport Beach, CA 92660-5818

Phone

(949) 981-3582

NPI assigned

Feb 4, 2022

Last updated

Feb 4, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1407500861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 PARK NEWPORT APT 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 PARK NEWPORT APT 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605818",
            "telephone_number": "949-981-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPAVALAVA",
        "first_name": "ZHANNA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREEN CARD",
            "identifier": "063673075",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M. Shamoun, M.D.
• Soren Shamsian
• William Rodman Shankle, MS, M.D.
• Shaoulian Cardiology Inc.
• Emanuel Shaoulian, M.D.
• Arell Shapiro, M.D.
• David Steven Shapiro, PH.D.
• Dawn A Shapiro, LMFT
• Matthew Shapiro, MD
• Share Our Selves Corporation (SOS Children & Family Health Center)

• General Practice Dentistry in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.