NPIMap

Organization Active NPI

Shaaban,D.D.S.,Inc.

  • Dental Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1508189705
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
56794 Issued in CA
Legal business name
SHAABAN,D.D.S.,INC.
Practice address
12752 Garden Grove Blvd
Suite 200
Garden Grove, CA 92843-1923
Phone
(714) 636-2595
NPI assigned
Mar 3, 2010
Last updated
Mar 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Shady ShaabanNPI 1770572877
Title
President
Phone
(818) 288-6511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 56794 CA Primary

Addresses

Primary practice location

12752 Garden Grove Blvd
Suite 200
Garden Grove, CA 92843-1923

Mailing address

12752 Garden Grove Blvd
Suite 200
Garden Grove, CA 92843-1923
Phone (714) 636-2595

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1508189705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12752 GARDEN GROVE BLVD",
            "address_2": "SUITE 200",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431923",
            "telephone_number": "714-636-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12752 GARDEN GROVE BLVD",
            "address_2": "SUITE 200",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431923",
            "telephone_number": "714-636-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAABAN,D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "SHAABAN",
        "authorized_official_first_name": "SHADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-288-6511"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.