Individual provider Active NPI

Bita Shahangian, D.D.S.

  • General Practice Dentistry
  • North Hollywood, CA
National Provider Identifier
1407953466
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44082 Issued in CA
Practice address
4821 Lankershim Blvd Ste B
North Hollywood, CA 91601-4572
Phone
(818) 508-7300
Fax
(818) 301-2566
NPI assigned
Sep 20, 2006
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44082 CA Primary
Dentist 122300000X 44082 CA

Addresses

Primary practice location

4821 Lankershim Blvd Ste B
North Hollywood, CA 91601-4572

Mailing address

4821 Lankershim Blvd Ste B
North Hollywood, CA 91601-4572
Phone (818) 508-7300

Other identifiers 1

IdentifierTypeStateIssuer
986867OtherCAUNITED CONCORDIA

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

LicenseStateTypeSpecialty
44082CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shahangian Dental Corp. CurrentSince Aug 8, 2021 Accepting new patients

Locations

4821 Lankershim Blvd
Ste B
North Hollywood, CA 91601
Phone (818) 508-7300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1407953466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 LANKERSHIM BLVD STE B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014572",
            "telephone_number": "818-508-7300",
            "fax_number": "818-301-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 LANKERSHIM BLVD STE B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014572",
            "telephone_number": "818-508-7300",
            "fax_number": "818-301-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHANGIAN",
        "first_name": "BITA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-07-30",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44082",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "986867",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.