Organization Active NPI

Mahvash Shayan a Professional Dental Corporation

Doing business as teddy bear children's dentistry

  • Pediatric Dentistry
  • West Hills, CA
National Provider Identifier
1528245263
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
46963 Issued in CA
Legal business name
MAHVASH SHAYAN A PROFESSIONAL DENTAL CORPORATION
Doing business as
teddy bear children's dentistry
Practice address
23101 Sherman PL Ste 201
West Hills, CA 91307-2019
Phone
(818) 716-8424
Fax
(818) 716-8423
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Dr. Mahvash Shayan, D.D.S
Title
Owner/Dentist/President of Company
Phone
(818) 716-8424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 46963 CA Primary

Addresses

Primary practice location

23101 Sherman PL Ste 201
West Hills, CA 91307-2019

Mailing address

23101 Sherman PL Ste 201
West Hills, CA 91307-2019
Phone (818) 716-8424

Other names 1

  • teddy bear children's dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

23101 Sherman Pl
Ste 201
West Hills, CA 91307
Phone (818) 716-8424

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1528245263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL STE 201",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072019",
            "telephone_number": "818-716-8424",
            "fax_number": "818-716-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL STE 201",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072019",
            "telephone_number": "818-716-8424",
            "fax_number": "818-716-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHVASH SHAYAN A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "SHAYAN",
        "authorized_official_first_name": "MAHVASH",
        "authorized_official_title_or_position": "OWNER/DENTIST/PRESIDENT OF COMPANY",
        "authorized_official_telephone_number": "818-716-8424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "46963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "teddy bear children's dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.