Individual provider Active NPI

Dennis Edward Shamlian, DDS

  • Dentist
  • Fresno, CA
National Provider Identifier
1487868592
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28812 Issued in CA
Practice address
7077 N West Ave
#107
Fresno, CA 93711-0669
Phone
(559) 438-4646
Fax
(559) 432-4326
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28812 CA Primary
General Practice Dentistry 1223G0001X 28812 CA

Addresses

Primary practice location

7077 N West Ave
#107
Fresno, CA 93711-0669

Mailing address

7077 N West Ave
#107
Fresno, CA 93711-0669
Phone (559) 438-4646

Other identifiers 1

IdentifierTypeStateIssuer
B2881201OtherCADENTI CAL

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shamlian Dentistry Inc. General Practice Past 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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1487868592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7077 N WEST AVE",
            "address_2": "#107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110669",
            "telephone_number": "559-438-4646",
            "fax_number": "559-432-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7077 N WEST AVE",
            "address_2": "#107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110669",
            "telephone_number": "559-438-4646",
            "fax_number": "559-432-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMLIAN",
        "first_name": "DENNIS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "28812",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI CAL",
            "identifier": "B2881201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.