Shaaban,D.D.S.,Inc.

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

Organization subpart

No

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

Authorized official

Name

Shady Shaaban

Title

President

Phone

(818) 288-6511

Specialties & licenses 1

Addresses

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": []
}

• Lindsey Seto
• Seung Hwan Kim, DDS, Inc
• Miguel Sevilla
• Lane Seymour, DPT
• Shady Shaaban
• Navyata Shah, DO
• Priya U Shah
• Shazia Shah
• Zain Shah
• Hiba Shakeel

• Dental Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Dental Clinic/Center in California

• 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.