Organization Active NPI

Sean Shidmand DDS, PC

Doing business as Mountain View Dentistry

  • Dental Clinic/Center
  • Calabasas, CA
National Provider Identifier
1609513118
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SEAN SHIDMAND DDS, PC
Doing business as
Mountain View Dentistry
Practice address
26560 Agoura Rd Ste 102
Calabasas, CA 91302-1949
Phone
(818) 880-4023
Fax
(818) 880-1613
NPI assigned
May 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Dr. Sean Shidmand, DDS
Title
President
Phone
(818) 472-5025

Specialties & licenses 1

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

Addresses

Primary practice location

26560 Agoura Rd Ste 102
Calabasas, CA 91302-1949

Mailing address

26560 Agoura Rd Ste 102
Calabasas, CA 91302-1949
Phone (818) 880-4023

Other names 1

  • Mountain View Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

26560 Agoura Rd
Ste 102
Calabasas, CA 91302
Phone (818) 871-9416

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1609513118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26560 AGOURA RD STE 102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021949",
            "telephone_number": "818-880-4023",
            "fax_number": "818-880-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26560 AGOURA RD STE 102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021949",
            "telephone_number": "818-880-4023",
            "fax_number": "818-880-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN SHIDMAND DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "SHIDMAND",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-472-5025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.