Organization Active NPI

Shawna Omid DDS

  • Dentist
  • Torrance, CA
National Provider Identifier
1619324480
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37470 Issued in CA
Legal business name
SHAWNA OMID DDS
Practice address
4305 Torrance Blvd
#103
Torrance, CA 90503-4409
Phone
(310) 542-5155
NPI assigned
May 20, 2016
Last updated
May 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Dr. Shawna Omid, DDS
Title
Owener
Phone
(310) 542-5155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 37470 CA Primary

Addresses

Primary practice location

4305 Torrance Blvd
#103
Torrance, CA 90503-4409

Mailing address

4305 Torrance Blvd Ste 103
#103
Torrance, CA 90503-4420
Phone (310) 542-5155

National Provider Directory

National Provider Directory

Locations

4305 Torrance Blvd
Ste 103
Torrance, CA 90503
Phone (310) 542-5155

Practitioners & affiliated clinicians

Practitioners 3

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": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1619324480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD STE 103",
            "address_2": "#103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034420",
            "telephone_number": "310-542-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD",
            "address_2": "#103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034409",
            "telephone_number": "310-542-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNA OMID DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "OMID",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "310-542-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.